Individual
JENNIFER LEE TAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
15497 W SAND ST, VICTORVILLE, CA 92392-2910
(760) 875-5000
(442) 327-9315
Mailing address
15931 SHAWNEE LN, VICTORVILLE, CA 92394-6730
(909) 894-6616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
757255
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024733
CA
Other
Enumeration date
01/25/2021
Last updated
10/24/2024
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