JONATHAN GENE LEE FNP-BC NPI 1770090128

NPI Information

NPI: 1770090128
Provider Name: JONATHAN GENE LEE, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
8692 9TH ST UNIT 24
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 518-9673
Get Directions

Jonathan Gene Lee, FNP-BC is a family nurse practitioner in Rancho Cucamonga, CA. Jonathan Gene Lee, FNP-BC NPI is 1770090128. 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:

8692 9TH ST UNIT 24
RANCHO CUCAMONGA, CA
ZIP 91730-809
Phone: (909) 518-9673

The NPI 1770090128 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 1/8/2018 and was last updated on 1/8/2018.

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	363LF0000X	Nurse Practitioner	Family	NP95007695	CALIFORNIA	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	NP95007695	OTHER	CALIFORNIA	CALIFORNIA BOARD OF REGISTERED NURSING - NURSE PRACTITIONER
2	2017030612	OTHER		ANCC BOARD CERTIFICATION
3	NPF95007695	OTHER	CALIFORNIA	CALIFORNIA BOARD OF REGISTERED NURSING - FURNISHING NUMBER
4	661019	OTHER	CALIFORNIA	CALIFORNIA BOARD OF REGISTERED NURSING

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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