Provider / Organization | NPI | Date Certified |
---|---|---|
JACELIS BLAND | 1801522859 | 2022-07-30 |
Jacelis Bland is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1801522859. Registration indicates Jacelis Bland is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Jacelis Bland PMHNP |
Practice Office Address | 150 VALPREDA RD SAN MARCOS, CA US |
Practice Office Telephone | 7607366767 |
Mailing Address | 150 VALPREDA RD SAN MARCOS, CA 920692973 US |
Business Telephone | 7607366767 |
Code | Practice | License No State |
---|---|---|
363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 4704388796
MI |