Doctor Name: | JENNIFER ELIZABETH STOCKFORD |
NPI Number: | 1447519707 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN |
License Number: | 531804 |
Business Practice Address: | Uhs Tang Center Uc Berkeley:2222 Bancroft Way #4300 Berkeley, CA - 947204300 |
Business Phone Number: | 5106437117 |
Business Fax Number: | 5106423520 |
Mailing Address: | Uhs Tang Center Uc Berkeley:2222 Bancroft Way, #4300 BERKELEY |
State: | CA |
Postal Code: | 947204300 |
Phone Number: | 5106437117 |
Fax Number: | 5106423520 |
NPI Enumeration Date: | 05/08/2012 |
NPI Last Update Date: | 05/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 531804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |