Jennifer L Heavenston
Medical Specialty
Professional ID
- NPI: 1700170388
- PECOS ID: 3779752142
- Enrollment ID: I20110802000240
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2010
Medical Practices
- Organization Name: Permanente Medical Group Inc
- Group Practice ID assigned by PECOS: 8921910225
- Number of Group Practice member: 7735
Location
- Address1: 6600 Bruceville Rd
- Address2:
- City: Sacramento
- State: California
- Zip Code: 95823
- Phone Number: (916)688-2000
Location
- Address1: 7373 W Lane
- Address2:
- City: Stockton
- State: California
- Zip Code: 95210
- Phone Number: (209)476-2000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):