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

Jennifer N Phan, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1780991067

Jennifer N Phan, REGISTEREDNURSE is a Registered Nurse in Oakland, California. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2010

Practice location Address checks out

1411 E 31st St
Oakland, CA 94602-1018
Phone: (510) 437-4800
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 196587 (CO)

Record details

NPI number1780991067
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedSeptember 8, 2010
Last updated in NPPESNovember 30, 2020
Certification dateNovember 30, 2020

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