Doctor Name: | LISA ANNE YOUNGBLOOD |
NPI Number: | 1801843941 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN NP |
License Number: | RN481125 |
Business Practice Address: | 4700 Spring St Ste 220 La Mesa, CA - 919415274 |
Business Phone Number: | 6196673380 |
Business Fax Number: | 6196670815 |
Mailing Address: | Po Box 609001, SAN DIEGO |
State: | CA |
Postal Code: | 921609001 |
Phone Number: | 6195284600 |
Fax Number: | 6195284625 |
NPI Enumeration Date: | 05/27/2006 |
NPI Last Update Date: | 01/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | RN481125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |