Montes, Jean Rhadenie Hernandez

Montes, Jean Rhadenie Hernandez is an sole proprietor health care provider with primary practice located at 3300 E South St Ste 305 , Lakewood CA 90805-4595. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty.

Contact Information

Primary practice address
3300 E South St Ste 305 Lakewood CA 90805-4595
Phone:
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 95005912 California
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X APRN11016885 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11016885 Florida

Profile Details

NPI number 1679095350
LBN Legal business name Montes, Jean Rhadenie Hernandez
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2017
Last updated Aug 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679095350 NPPES
California Other 95005912 CA BRN

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