Individual provider · NPI-1

Jonathan Adam Abejar, FNP-C

Nurse Practitioner, Family · Palm Desert, CA

NPI number1699519140
StatusActive
Last updated in NPPESJun 20, 2024

Details

NPI
1699519140
Entity type
Individual (NPI-1)
Name
Jonathan Adam Abejar
Credential
FNP-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 20, 2024
Certification date
Jun 20, 2024
Last updated
Jun 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95030453CAYes

Practice location

72757 Fred Waring Dr Ste 1
Palm Desert, CA 92260-9404

Phone 760-340-5800

Mailing address

12 Tucson Cir
Palm Desert, CA 92211-8221

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