Provider Demographics
NPI:1104919786
Name:SOLANO, JENNY I (NNP-BC)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:I
Last Name:SOLANO
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 STOCKTON BLVD
Mailing Address - Street 2:D5 NEONATAL UNITS
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:916-703-3050
Mailing Address - Fax:916-703-3055
Practice Address - Street 1:2315 STOCKTON BLVD
Practice Address - Street 2:D5 NEONATAL UNITS
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2201
Practice Address - Country:US
Practice Address - Phone:916-703-3050
Practice Address - Fax:916-703-3055
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110318363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal