Individual provider · Type 1 NPI
Lashaunda Renee Jethro, PMHNP, DNP
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1497325187
Active
Practice location
4290 Polk Ave
San Diego, CA 92105-1524
Fax (858) 633-4681
Mailing address
31378 Brush Creek Cir
Temecula, CA 92591-7418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95127420 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP95017852 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1497325187
Lashaunda Renee Jethro, PMHNP, DNP's National Provider Identifier is 1497325187, issued on Jun 25, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Aug 5, 2021.