Individual provider · Type 1 NPI
Jacquelin Janet Tejeda, RN
Case Management Registered Nurse · Grand Terrace, CA
NPI number
1275108680
Active
Practice location
11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172
Mailing address
21641 Burch St
Perris, CA 92570-5648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 95178939 (CA) |
Case Management Registered Nurse: Definition to come...
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About NPI 1275108680
Jacquelin Janet Tejeda, RN's National Provider Identifier is 1275108680, issued on May 26, 2021. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Grand Terrace, CA. The record was last updated on May 26, 2021.