Individual
KELSEY JOAN PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5845 E LAVENDER CT, ORANGE, CA 92867-3358
(714) 743-7559
Mailing address
5845 E LAVENDER CT, ORANGE, CA 92867-3358
(714) 743-7559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95242273
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95027578
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95027578
NURSE PRACTITIONER/FURNISHING
CA
01
—
95242273
REGISTERED NURSE
CA
Enumeration date
10/18/2023
Last updated
10/18/2023
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