Jenna Derickson
Jenna Derickson is a Physician Assistant in Oakland, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
275 W Macarthur BlvdOakland, CA 94611-5641
Phone: (510) 752-1105
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 54296 (CA) |
|---|
Record details
| NPI number | 1215458120 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 30, 2017 |
| Last updated in NPPES | January 3, 2022 |
| Mailing address | 275 W Macarthur Blvd Fl 3, Oakland, CA 94611-5641 |
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