Individual provider · Type 1 NPI

Shannon Lee Jinjoe

General Practice Registered Nurse · Lake Elsinore, CA

NPI number 1609462290 Active

Practice location

15640 Vista Way Unit 110
Lake Elsinore, CA 92532-0439

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X769308 (CA)

General Practice Registered Nurse: Definition to come...

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About NPI 1609462290

Shannon Lee Jinjoe's National Provider Identifier is 1609462290, issued on Dec 17, 2020. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Lake Elsinore, CA. The record was last updated on Dec 17, 2020.