Individual
JESSICA M MORMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13441 MESA CREST DR, YUCAIPA, CA 92399-5819
(760) 881-2706
Mailing address
13441 MESA CREST DR, YUCAIPA, CA 92399-5819
(760) 881-2706
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95020323
CA
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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