Provider Demographics
NPI:1386979227
Name:OSENA, JAYLENE (FNP)
Entity type:Individual
Prefix:
First Name:JAYLENE
Middle Name:
Last Name:OSENA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 N FRESNO ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703-1124
Mailing Address - Country:US
Mailing Address - Phone:559-227-1622
Mailing Address - Fax:559-227-7668
Practice Address - Street 1:3030 N FRESNO ST STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-1124
Practice Address - Country:US
Practice Address - Phone:559-227-1622
Practice Address - Fax:559-227-7668
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP19393363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily