Bland, Jacelis

Bland, Jacelis is an individual health care provider with primary practice located at 150 Valpreda Rd , San Marcos CA 92069-2973. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bland, Jacelis can be contacted via phone (760) 736-6767.

Contact Information

Primary practice address
150 Valpreda Rd San Marcos CA 92069-2973
Phone: (760) 736-6767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704388796 Michigan

Profile Details

NPI number 1801522859
LBN Legal business name Bland, Jacelis
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2022
Last updated Jul 30th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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