Deshawn Jahmal Edge-Hughes
Licensed Vocational Nurse in San Bernardino, CA. Individual provider (NPI-1).
NPI number1063376523
StatusActive
Last updated in NPPESDec 10, 2025
Details
- NPI
- 1063376523
- Entity type
- Individual (NPI-1)
- Name
- Deshawn Jahmal Edge-Hughes
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 10, 2025
- Certification date
- Dec 10, 2025
- Last updated
- Dec 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 755587 | CA | Yes |
Practice location
2080 S E StSan Bernardino, CA 92408-2773
Phone 909-388-9191
Mailing address
2080 S E StSan Bernardino, CA 92408-2773
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