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Jennifer Ta, CPNP

NPI 1790035046 · on the registry since 2012 · sole proprietor

Practice

Address
338 S Dakota Ave Bldg 13850
Lompoc, CA 93437
Phone
(805) 606-2273
Organisation at this address
Vandenberg Air Force 30th Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
363LP0200X
363LP0200X
Also registered as
363LP2300X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-30

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