Individual
JESSE DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1368 MARSH ST, SAN LUIS OBISPO, CA 93401-3316
(805) 619-9915
(805) 540-7063
Mailing address
1368 MARSH ST, SAN LUIS OBISPO, CA 93401-3316
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95026438
CA
Other
Enumeration date
02/28/2017
Last updated
04/11/2026
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