MISS JEAN RHADENIE HERNANDEZ MONTES FNP-C NPI 1679095350

NPI Information

NPI: 1679095350
Provider Name: MISS JEAN RHADENIE HERNANDEZ MONTES, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3300 E SOUTH ST STE 305
LAKEWOOD, CA
ZIP 90805
Phone:
Get Directions

MISS Jean Rhadenie Hernandez Montes, FNP-C is a family nurse practitioner in Lakewood, CA with 9 years of experience. MISS Jean Rhadenie Hernandez Montes, FNP-C NPI is 1679095350. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3300 E SOUTH ST STE 305
LAKEWOOD, CA
ZIP 90805-595

The NPI 1679095350 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2017 and was last updated on 8/15/2022.

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	207QA0505X	Family Medicine	Adult Medicine	95005912	CALIFORNIA	No
2	207QA0505X	Family Medicine	Adult Medicine	APRN11016885	FLORIDA	No
3	363LF0000X	Nurse Practitioner	Family	APRN11016885	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95005912	OTHER	CALIFORNIA	CA BRN

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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