JETHRONE ROLE MSN RN NPI 1558880617

NPI Information

NPI: 1558880617
Provider Name: JETHRONE ROLE, MSN, RN
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

Address:
101 E REDLANDS BLVD RM 1400B
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 651-4000
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Jethrone Role, MSN, RN is an administrator registered nurse in San Bernardino, CA. Jethrone Role, MSN, RN NPI is 1558880617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 E REDLANDS BLVD RM 1400B
SAN BERNARDINO, CA
ZIP 92408-710
Phone: (909) 651-4000

The enumeration date for this NPI number is 9/10/2017 and was last updated on 9/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA2000X	Registered Nurse	Administrator	676330	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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