Individual provider · Type 1 NPI
Jill Bormann, PhD, RN
Adult Psychiatric/Mental Health Registered Nurse · San Diego, CA
NPI number
1235396300
Active
Practice location
3350 La Jolla Village Dr, 111N-1
San Diego, CA 92161-0002
Fax (858) 552-1249
Mailing address
4768 39th St
San Diego, CA 92116-2208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 372423 (CA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1235396300
Jill Bormann, PhD, RN's National Provider Identifier is 1235396300, issued on May 16, 2008. 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 May 16, 2008.