National Provider Identifier Database

JENNIFER AGUEDA, NP-C – NPI #1124578117
Family


Contact Information

JENNIFER AGUEDA, NP-C
4077 5TH AVE
SAN DIEGO, CA92103-2105
Phone: 619-686-3935
Fax: 619-686-3440
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for JENNIFER AGUEDA

NPI Number 1124578117
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 10/13/2016
Last updated 04/13/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 95004955
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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