| Ms Jennifer Ruth Pettibone, RN | |
|
2101 Courage Dr, Ms-10-200, Fairfield, CA 94533-6717 | |
| (707) 784-2154 | |
| Not Available |
| Full Name | Ms Jennifer Ruth Pettibone |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 2101 Courage Dr, Fairfield, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003004474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 464317 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Ruth Pettibone, RN 1048 2nd St Apt 6, Novato, CA 94945-2439 Ph: (415) 897-1899 | Ms Jennifer Ruth Pettibone, RN 2101 Courage Dr, Ms-10-200, Fairfield, CA 94533-6717 Ph: (707) 784-2154 |
Malissa Blair, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-750-3000 | |
Alison Legler-hauck, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-639-4675 | |
Lyn Green, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2700 Low Ct Fl 2, Fairfield, CA 94534 Phone: 707-432-2700 | |
John Parker Ward, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-0802 Fax: 707-425-4014 | |
Lauren Carrizosa, NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-428-1131 | |
Priyanka Das, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4704 Branding Iron Dr, Fairfield, CA 94534 Phone: 714-930-3296 |