Individual
MR. JUSTIN DOUGLAS ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, AGACNP-BC
Contact information
Practice address
12740 HESPERIA RD STE A, VICTORVILLE, CA 92395-8306
(760) 998-1999
(760) 881-3555
Mailing address
19431 VERBENA ST, APPLE VALLEY, CA 92308-3347
(615) 545-7996
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95013524
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95013524
CALIFORNIA BRN NP LICENSE NUMBER
CA
Enumeration date
12/14/2019
Last updated
02/29/2020
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