Perafan, Jeanne M

Perafan, Jeanne M is an individual health care provider with primary practice located at 47110 Washington St Ste 203 , La Quinta CA 92253-2186. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Perafan, Jeanne M can be contacted via phone (760) 564-9205.

Contact Information

Primary practice address
47110 Washington St Ste 203 La Quinta CA 92253-2186
Phone: (760) 564-9205
Fax: (760) 771-6215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN544390 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP17293 California

Profile Details

NPI number 1831377829
LBN Legal business name Perafan, Jeanne M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2008
Last updated Aug 10th, 2023 - about last year

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 1831377829 NPPES
California MEDICAID GR0101240
California Other NP17293
California MEDICAID GR0101241
California MEDICAID GR0101242

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