person
Justene Ann Ilog, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Vista, California
NPI 1598451445

Justene Ann Ilog is a Psychiatric/Mental Health Nurse Practitioner based in Oceanside, CA and is specialized in Psychiatric/Mental Health. Justene Ann Ilog practices in Vista, CA and has the professional credentials of PMHNP. The NPI Number for Justene Ann Ilog is 1598451445 and holds a License No. 95219111 (California).

The current practice location address for Justene Ann Ilog is 550 W Vista Way Ste 103, Vista, CA and can be reached out via phone at 760-295-8727.

Location: 550 W Vista Way Ste 103, Vista, CA, 92056-2624
person
Provider Profile Details
NPI Number
1598451445
Provider Name
Justene Ann Ilog
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
550 W Vista Way Ste 103, Vista, CA, 92056-2624
Phone Number
760-295-8727
Fax Number
Provider Enumeration Date
04/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
550 W Vista Way Ste 103
City
State
Zip
92083-5735
Phone Number
760-295-8727
Fax Number
person
Provider Business Mailing Address Details
Address
550 W Vista Way Ste 103
City
State
Zip
92083-5735
Phone Number
760-295-8727
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95025318 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95219111 (California)
Definition
Definition to come...
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