Provider Demographics
NPI:1306136262
Name:DOBBS, JENNIFER BORDEN (NP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:BORDEN
Last Name:DOBBS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 EMBARCADERO CTR
Mailing Address - Street 2:LOBBY LEVEL
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-3823
Mailing Address - Country:US
Mailing Address - Phone:415-578-3100
Mailing Address - Fax:415-291-0489
Practice Address - Street 1:2 EMBARCADERO CTR
Practice Address - Street 2:LOBBY LEVEL
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-3823
Practice Address - Country:US
Practice Address - Phone:888-663-6331
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA686248363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA19217OtherCALIFORNIA BOARD OF REGISTERED NURSING NURSE PRACTITIONER CERTIFICATE NUMBER
CA686248OtherCALIFORNIA BOARD OF REGISTERED NURSING REGISTERED NURSE LICENSE NUMBER
MB2343692OtherUNITED STATES D.E.A. REGISTRATION NUMBER
19217OtherCALIFORNIA BOARD OF REGISTERED NURSING NURSE PRACTITIONER FURNISHING NUMBER