Individual provider · Type 1 NPI
Jesse Schmittendorf
Adult Psychiatric/Mental Health Registered Nurse · San Diego, CA
NPI number
1104417229
Active
Practice location
1260 Morena Blvd
San Diego, CA 92110-3889
Other practice locations
- 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 · (619) 787-6940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 666249 (CA) |
| Registered Nurse | 163W00000X | 666249 (CA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1104417229
Jesse Schmittendorf's National Provider Identifier is 1104417229, issued on Feb 1, 2021. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in San Diego, CA. The record was last updated on Aug 25, 2021.