Jeremy Ray Verhines
Nurse Practitioner - Psychiatric/Mental Health
3404 Via Lido Ste 2b
Newport Beach
, California 92663-3991
Jeremy Ray Verhines
Nurse Practitioner - Psychiatric/Mental Health
3404 Via Lido Ste 2b
Newport Beach
, California 92663-3991
(252) 250-2029
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Jeremy Ray Verhines
- 32565 Golden Lantern St # B479
- Dana Point, CA
- Zip : 92629-3261
- Fax : (252) 250-2029
- Phone : (949) 750-7082
Second Address
- Jeremy Ray Verhines
- 3404 Via Lido Ste 2b
- Newport Beach, CA
- Zip : 92663-3991
- Fax : (252) 250-2029
- Phone : (949) 750-7082
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Is Jeremy Ray Verhines a sole practitioner?
Is Jeremy Ray Verhines accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 95009393 | CA |
National Provider Identifier
| NPI | 1003302605 |
|---|---|
| Provider Name | Jeremy Ray Verhines |
| First Address | Dana Point, CA 92629-3261 |
| Second Address | Newport Beach, CA 92663-3991 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2018 |
| Last Update Date | 10/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003302605 | NPI (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.