Individual ProviderJennifer Jade Kumala OceguedaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2760 Fletcher Pkwy, El Cajon, CA 92020-2110(619) 461-4411PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Jade Kumala Ocegueda does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1184267411Provider TypeIndividualFull NameOcegueda, Jennifer Jade KumalaCredentialMSN, FNP-C, PHNGenderFemaleSole ProprietorNoEnumeration Date10/18/2019Last Updated10/18/2019Contact InformationPractice LocationPractice Address2760 Fletcher Pkwy, El Cajon, CA 92020-2110Phone(619) 461-4411FaxUnlisted FaxMailing LocationMailing Address2760 Fletcher Pkwy, El Cajon, CA 92020-2110Phone(619) 461-4411FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNP95011190California