MS. JENNIFER LEE GUSTAFSON (NPI# 1639475254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639475254 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LEE GUSTAFSON |
| Credential | NP |
| Practice Address |
2767 Olive Hwy Oroville CA 95966-6118 |
| Practice Telephone | 5305338500 |
| Practice Fax Number | 5305383277 |
| Mailing Telephone | 5305338500 |
| Mailing Fax Number | 5305383277 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
NP19069 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487997664 | Jennifer K Gustafson | Obstetrics & Gynecology | 5673 Peachtree Dunwoody Rd Ste 700, Atlanta, GA 30342-1752 | 2013-04-05 |
| 1043554405 | Jennifer Helen Gustafson | Occupational Therapist | 3 Whittier Way, York, ME 03909 | 2012-11-24 |
| 1922384940 | Jennifer Lynn Gustafson | Occupational Therapist | 3101 Less Traveled Trl, Indian Trail, NC 28079-7801 | 2011-10-24 |
| 1679180145 | Jennifer Renee Gustafson | Behavior Technician | 109 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-09-28 |
| 1013479609 | Jennifer Lynn Gustafson | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2019-04-02 |
| 1861848814 | Jennifer Gustafson | Massage Therapist | 5649 University Way Ne, Seattle, WA 98105-2619 | 2016-05-09 |
| 1396154985 | Jennifer Lisa Gustafson | Nurse Practitioner | 1600 W 38th St, Suite 300, Austin, TX 78731-6400 | 2014-08-07 |
| 1386923175 | Jennifer Christine Gustafson | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2011-08-10 |
| 1801037601 | Jennifer Lynd Mosey Gustafson | Marriage & Family Therapist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2009-03-09 |
| 1578717112 | Jennifer Gustafson | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2008-11-10 |
| Street Address |
2767 OLIVE HWY |
| City | OROVILLE |
| State | CA |
| Zip Code | 95966-6118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831872 | Erwin Cornel Demiany | Family Medicine | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2005-06-20 |
| 1447863386 | Chor Vang | Registered Nurse | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2020-08-29 |
| 1811505092 | Nicole Erin Briggs | Physician Assistant | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2020-07-14 |
| 1285259614 | Supriya Sethi | Pharmacist | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2020-06-11 |
| 1578187571 | Araceli Amano | Registered Nurse | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2020-06-04 |
| 1548884539 | Bao Yang | Registered Nurse | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2020-06-04 |
| 1831710011 | Mario Antonio Delgado Melgarejo | Pharmacist | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2020-04-29 |
| 1841848082 | Lee Yang | Nurse Practitioner | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2019-08-30 |
| 1659925808 | Charina A Garduque | Nurse Practitioner | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2019-07-26 |
| 1578121737 | Oroville Hospital | General Acute Care Hospital | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2019-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| 1467001230 | Elijah House, Los Molinos | Substance Abuse Rehabilitation Facility | 7904 Hwy 99e, Oroville, CA 95966 | 2019-09-05 |
| 1689180838 | Jessica Dawn Legg | Registered Nurse | 120 Kokanee Drive, Oroville, CA 95966 | 2017-12-26 |
| 1992220198 | Vanesa Kim Van Tran I | Counselor | 24 Pleasant Oak Lane, Oroville, CA 95966 | 2017-08-08 |
| 1861930919 | Addiction Counseling and Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 1749 Boynton Avenue, Oroville, CA 95966 | 2017-02-09 |
| 1790181519 | Tyra Graham | Counselor | 6590 Upper Palermo Rd., Oroville, CA 95966 | 2014-11-05 |
| 1568710747 | Tri County Treatment | Substance Abuse Rehabilitation Facility | 2740 Oro Dam Blvd, Oroville, CA 95966 | 2012-08-21 |
| 1255690079 | Country Crest, LLC | Skilled Nursing Facility | 50 Concordia Lane, Oroville, CA 95966 | 2012-05-14 |
| 1710140454 | Brandi Halsted | Social Worker | 2145 Fifth Ave, Oroville, CA 95966 | 2008-07-02 |
| 1336308360 | Geraldine Grace Cummings | Licensed Vocational Nurse | 439 Dunstone Drive, Oroville, CA 95966 | 2008-06-05 |
| Find all providers in zip 95966 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942467519 | Theresa Anne O' Hair | Nurse Practitioner | 2721 Olive Hwy, Oroville, CA 95966-6115 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1851990550 | Fernanda Monteon Ibarra | Nurse Practitioner | 30222 Belmont Ct, Agoura Hills, CA 91301-4611 | 2020-10-22 |
| 1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
| 1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
| 1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.