Deborah Ann Jernberg

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NPF 8192 Issued in CA

Practice address

7200 Redwood Blvd
Suite 200, Continuity of Care
Novato, CA 94945-3250

Phone

(415) 893-4050

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1780751032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY",
            "address_2": "SUITE 200",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 REDWOOD BLVD",
            "address_2": "SUITE 200, CONTINUITY OF CARE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453250",
            "telephone_number": "415-893-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNBERG",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "444213",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF 8192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Huanjing Chen O.D. a Professional Corporation
• Jennifer I. Dole DDS Inc
• Deonna Donnyell Jennings
• Leann Kay Jensen, P.T.
• Rebecca Nicoll Jensen, OTR CHT
• Suzanne Jessup
• Deidre Jimenez
• Michele Jodoin, PA
• Joel S. Erickson, M.D., Inc.
• John Elloway MD a Professional Corp

• Family Nurse Practitioner in Novato, CA
• Providers in Novato, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.