Individual provider · Type 1 NPI
Marianna Elizabeth Jong, PMHNP-BC, RN, BSN
Psychiatric/Mental Health Nurse Practitioner · Simi Valley, CA
NPI number
1467220111
Active
Practice location
373 Morgan Hill St
Simi Valley, CA 93065-7685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 577168 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP95032293 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1467220111
Marianna Elizabeth Jong, PMHNP-BC, RN, BSN's National Provider Identifier is 1467220111, issued on Dec 12, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Simi Valley, CA. The record was last updated on Oct 30, 2024.