Individual provider · Type 1 NPI
Jonathan Andrew Deinard, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1104067453
Active
Practice location
Naval Medical Center San Diego, 34800 Bob Wilson Drive
San Diego, CA 92134-0001
Fax (619) 532-6466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R865600 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104067453
Jonathan Andrew Deinard, NURSE PRACTITIONER's National Provider Identifier is 1104067453, issued on Mar 17, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Mar 17, 2009.