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Individual
JONATHAN GENE LEE
Active
Individual
JONATHAN GENE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95007695
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017030612
ANCC BOARD CERTIFICATION
—
01
—
661019
CALIFORNIA BOARD OF REGISTERED NURSING
CA
01
—
NP95007695
CALIFORNIA BOARD OF REGISTERED NURSING - NURSE PRACTITIONER
CA
01
—
NPF95007695
CALIFORNIA BOARD OF REGISTERED NURSING - FURNISHING NUMBER
CA
Enumeration date
01/08/2018
Last updated
01/08/2018
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