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

Jenna Lauren Tibbitts

Individual provider Family Nurse Practitioner · NPI 1912711375

Jenna Lauren Tibbitts is a Nurse Practitioner in San Diego, California. Qualified in 2024, 2 years ago. Practices with Minuteclinic Diagnostic Medical Group of San Diego Inc, a 38-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

3327 Rosecrans St
San Diego, CA 92110-4223
Phone: (609) 741-0160
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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 NP95032799 (CA)

Record details

NPI number1912711375
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2025
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 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 Minuteclinic Diagnostic Medical Group Of San Diego Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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