| Doctor Name: | JACQUELINE D. BREDEHOFT |
| NPI Number: | 1316269525 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 14352 |
| Business Practice Address: | 28 Monarch Bay Plz Suite N Dana Point, CA - 926293460 |
| Business Phone Number: | 9494895564 |
| Business Fax Number: | 9494939350 |
| Mailing Address: | 28 Monarch Bay Plz, Suite N DANA POINT |
| State: | CA |
| Postal Code: | 926293460 |
| Phone Number: | 9494895564 |
| Fax Number: | 9494939350 |
| NPI Enumeration Date: | 02/16/2010 |
| NPI Last Update Date: | 02/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 14352 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |