Jethro, Lashaunda Renee

Jethro, Lashaunda Renee is an individual health care provider with primary practice located at 4290 Polk Ave , San Diego CA 92105-1524. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jethro, Lashaunda Renee can be contacted via phone (619) 563-0250.

Contact Information

Primary practice address
4290 Polk Ave San Diego CA 92105-1524
Phone: (619) 563-0250
Fax: (858) 633-4681
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95127420 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP95017852 California

Profile Details

NPI number 1497325187
LBN Legal business name Jethro, Lashaunda Renee
Credentials PMHNP, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2021
Last updated Aug 5th, 2021 - about 5 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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