Individual
JONATHAN ANDREW DEINARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-0001
(619) 532-7809
(619) 532-6466
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-0001
(619) 532-7809
(619) 532-6466
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R865600
MS
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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