Individual
JASON EDWIN DURYEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
200 MERCY CIR, OCEANSIDE, CA 92055-0001
(760) 725-1288
Mailing address
200 MERCY CIRCLE, OCEANSIDE, CA 92055
(760) 719-3312
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95023192
CA
Other
Enumeration date
01/19/2023
Last updated
02/07/2025
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