Jennifer Alcantar

Individual provider Active NPI Peer Specialist · Porterville, CA

NPI 1487110698 · NPPES record last updated Feb 12, 2019

Key facts

NPI
1487110698
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
1055 W Henderson Ave
Porterville, CA 93257-1490
Phone
(559) 788-1200
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

1055 W Henderson Ave
Porterville, CA 93257-1490

Mailing address

1055 W Henderson Ave
Porterville, CA 93257-1490

Other providers in Porterville, CA

All providers in Porterville, CA · Peer Specialist in California

Sources for this page

Verify at the official NPI Registry.