Search › California › 363LF0000X
Jenna Pettus, NP
NPI 1376033746 · on the registry since 2018
Practice
- Address
- 711 14th St
Apt 11
Sacramento, CA 95814 - Phone
- (925) 683-5410
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California