Jennifer Ruth Pettibone is a Registered Nurse (Psych/Mental Health) in the FAIRFIELD area. Jennifer Ruth Pettibone primary office location is at 2101 COURAGE DR and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003004474 and the information was updated approximately 17 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: NO
License Number | State |
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464317 | CA |
Taxonomy | State | Primary? |
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Registered Nurse (Psych/Mental Health) - Taxonomy Code 163WP0808X | CA | Y |