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Contact Information

JACQUELINE M ATHENS, NP
300 PASTEUR DR
STANFORD, CA94305-2200
 Phone: 650-723-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JACQUELINE M ATHENS · (Female)

NPI Number 1568132967
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/16/2021
Last updated 12/30/2025 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 95018090
Hospital affiliation(s) Not Available
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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