Individual
JENNIFER ALLISON LASALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
10780 SANTA MONICA BLVD STE 105, LOS ANGELES, CA 90025-7613
(424) 521-1066
(424) 326-8553
Mailing address
10780 SANTA MONICA BLVD STE 105, LOS ANGELES, CA 90025-7613
(424) 521-1066
(424) 326-8553
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95152595
CA
Other
Enumeration date
11/10/2025
Last updated
02/04/2026
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