Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jennifer Kim Phan

Individual provider Pharmacist · NPI 1972930394

Dr. Jennifer Kim Phan is a Pharmacist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

1980 Santa Rosa Ave
Santa Rosa, CA 95407
Phone: (707) 575-0665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 69544 (CA)

Record details

NPI number1972930394
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2013
Last updated in NPPESSeptember 30, 2013

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