JESSE REVIN SITUMEANG NPI 1164166492

NPI Information

Jesse Revin Situmeang is a licensed vocational nurse in 29 Palms, CA. The provider is a licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. Jesse Revin Situmeang NPI is 1164166492. 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:

71952 BUENA VISTA DR
29 PALMS, CA
ZIP 92277-076
Phone: (720) 666-0999
Fax: (760) 401-8212

The enumeration date for this NPI number is 4/22/2022 and was last updated on 4/22/2022.

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:

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