| Doctor Name: | MISS JENNIFER TRAN |
| NPI Number: | 1548634520 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP, CNS |
| License Number: | 4202 |
| Business Practice Address: | 147 W Sierra Madre Blvd Sierra Madre, CA - 910242492 |
| Business Phone Number: | 6263553443 |
| Business Fax Number: | 6263557843 |
| Mailing Address: | 147 W Sierra Madre Blvd, SIERRA MADRE |
| State: | CA |
| Postal Code: | 910242492 |
| Phone Number: | 6263553443 |
| Fax Number: | 6263557843 |
| NPI Enumeration Date: | 11/13/2015 |
| NPI Last Update Date: | 11/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | 4202 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |