Provider Demographics
NPI:1427254333
Name:DUDA, JENNIFER K (RN)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:K
Last Name:DUDA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:K
Other - Last Name:KRAMARZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3670 BLACK HAWK AVE
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-8325
Mailing Address - Country:US
Mailing Address - Phone:209-381-1138
Mailing Address - Fax:209-381-1173
Practice Address - Street 1:260 E. 15TH STREET
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340
Practice Address - Country:US
Practice Address - Phone:209-381-1138
Practice Address - Fax:209-381-1173
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN431031163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator