| Doctor Name: | JENNIFER JONES CARRASCO |
| NPI Number: | 1083700256 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 12661 |
| Business Practice Address: | 1107 S Mission Rd Fallbrook, CA - 920283224 |
| Business Phone Number: | 7604510070 |
| Business Fax Number: | 9512528589 |
| Mailing Address: | 27699 Jefferson Ave, Suite 300 TEMECULA |
| State: | CA |
| Postal Code: | 925902661 |
| Phone Number: | 9512528588 |
| Fax Number: | 9512528589 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 05/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 12661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |