Doctor Name: | MRS. JENNY R LEMMON |
NPI Number: | 1194927830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSN PHN |
License Number: | 49181 |
Business Practice Address: | 1445 Bunyan Rd Susanville, CA - 961303142 |
Business Phone Number: | 5302518183 |
Business Fax Number: | 5302512668 |
Mailing Address: | 915 Cottage St, SUSANVILLE |
State: | CA |
Postal Code: | 961304402 |
Phone Number: | 5302577205 |
Fax Number: | 5302512668 |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 49181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |