Individual
MR. JEBY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN ,PMHNP -BC
Contact information
Practice address
1902 WRIGHT PLACE , CORNERSTONE CORPORATE CENTER, 2 ND FLOOR, CARLSBAD, CA 92008
(301) 385-6372
Mailing address
1902 WRIGHT PLACE , CORNERSTONE CORPORATE CENTER, 2 ND FLOOR, CARLSBAD, CA 92008
(301) 385-6372
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1007837
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030576
CA
Other
Enumeration date
08/23/2023
Last updated
09/25/2024
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