Jennie Jet
Medical Specialty
Professional ID
- NPI: 1073579231
- PECOS ID: 1557347044
- Enrollment ID: I20040625000501
- Credential(MD, DO, DPM): MD
- Medical School: Northwestern University Medical School
- Medical School Graduation Year: 1997
Hospital Service
- Hospital CCN1: 050242
- Business Name (LBN)1: Dominican Hospital
- Hospital CCN2: 050194
- Business Name (LBN)2: Watsonville Community Hospital
- Hospital CCN3: 050441
- Business Name (LBN)3: Stanford Health Care
Medical Practices
- Organization Name: Dignity Health Medical Foundation
- Group Practice ID assigned by PECOS: 7810800661
- Number of Group Practice member: 992
Location
- Address1: 1595 Soquel Dr
- Address2:
- City: Santa Cruz
- State: California
- Zip Code: 95065
- Phone Number: (831)462-4444
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):