Organization
HOPE SOARS BEHAVIORAL HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMESINA JOHNS NP (NP/CEO)
(760) 220-7149
Entity
Organization
Contact information
Practice address
12127 MALL BLVD # 148, VICTORVILLE, CA 92392-7665
(442) 242-1724
Mailing address
12127 MALL BLVD # 148, VICTORVILLE, CA 92392-7665
(760) 220-7149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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