Provider Demographics
NPI:1891090692
Name:REMMERS-WRIGHT, JENNIFER LEE (MPH, RD, MCHES)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LEE
Last Name:REMMERS-WRIGHT
Suffix:
Gender:
Credentials:MPH, RD, MCHES
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:EIMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:607 DONNA WAY
Mailing Address - Street 2:SOBOBA INDIAN HEALTH
Mailing Address - City:SAN JACINTO
Mailing Address - State:CA
Mailing Address - Zip Code:92583
Mailing Address - Country:US
Mailing Address - Phone:951-654-0803
Mailing Address - Fax:951-654-5957
Practice Address - Street 1:1027 MARKHAM PL
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95401-9112
Practice Address - Country:US
Practice Address - Phone:909-253-4997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-26
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01023076133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered