IndividualActive
Jennifer Canlas
NPI 1114471794 · Gerontology Clinical Nurse Specialist · Vallejo, CA
Provider details
- NPI number
- 1114471794
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4520 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
975 Sereno Dr
Vallejo, CA 94589-2441
Phone: (707) 651-1000
Approximate (ZIP-level) locationGet directions
Mailing address
975 Sereno Dr
Vallejo, CA 94589-2441
Registry dates
- Enumerated
- 2016-08-11
- Last updated
- 2016-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.