Provider Demographics
NPI:1871807057
Name:KAINA, JENNIFER L (NP)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:L
Last Name:KAINA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5725 W LAS POSITAS BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-4166
Mailing Address - Country:US
Mailing Address - Phone:925-416-6720
Mailing Address - Fax:925-416-6722
Practice Address - Street 1:5725 W LAS POSITAS BLVD STE 220
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-4166
Practice Address - Country:US
Practice Address - Phone:925-416-6720
Practice Address - Fax:925-416-6722
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2262077363L00000X, 363LF0000X
CA23410363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner