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

Jeniffer Santos Labog, FNP

Individual provider Family Nurse Practitioner · NPI 1730909938

Jeniffer Santos Labog, FNP is a Nurse Practitioner in San Diego, California. Qualified in 2024, 2 years ago. Practices with Elizabeth Supportive Medical Specialists a Medical Corporation, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1555 Palm Ave Ste J2
San Diego, CA 92154-1012
Phone: (619) 490-3112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95032412 (CA)

Record details

NPI number1730909938
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedOctober 12, 2024
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Elizabeth Supportive Medical Specialists A Medical Corporation — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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