Provider Demographics
NPI:1326935487
Name:GARCIA, JENNIFER MARIE
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARIE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 OFFENHAUSER DR APT 139G
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-1750
Mailing Address - Country:US
Mailing Address - Phone:872-400-9836
Mailing Address - Fax:
Practice Address - Street 1:8200 OFFENHAUSER DR APT 139G
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-1750
Practice Address - Country:US
Practice Address - Phone:872-400-9836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-21
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No347E00000XTransportation ServicesTransportation Broker
No177F00000XOther Service ProvidersLodging
No251X00000XAgenciesSupports Brokerage
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility