Individual provider · Type 1 NPI

Jayne Ranee Antolin

Family Nurse Practitioner · Cathedral City, CA

NPI number 1306351689 Active

Practice location

69175 Ramon Rd Bldg A
Cathedral City, CA 92234-3344

Mailing address

36289 Cherrywood Dr
Yucaipa, CA 92399-5730

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X95053544 (CA)
Family Nurse Practitioner Primary 363LF0000X95006784 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1306351689

Jayne Ranee Antolin's National Provider Identifier is 1306351689, issued on Dec 7, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cathedral City, CA. The record was last updated on Apr 16, 2021.