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

Jennifer Lynne Detisch, NP

Individual provider Family Nurse Practitioner · NPI 1730215534

Jennifer Lynne Detisch, NP is a Nurse Practitioner in Vista, California. Graduated from University of California, San Francisco School of Medicine in 2006, 20 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone: (760) 631-5000
Fax: (760) 414-3713
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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 16773 (CA)

Record details

NPI number1730215534
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 26, 2007
Last updated in NPPESNovember 30, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vista