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Jonathan Wibisono, NP
Nurse Practitioner in Beaumont, California
NPI 1992158653

Jonathan Wibisono is a Nurse Practitioner based in Beaumont, CA. Jonathan Wibisono practices in Beaumont, CA and has the professional credentials of NP. The NPI Number for Jonathan Wibisono is 1992158653 and holds a License No. 95004343 (California).

The current practice location address for Jonathan Wibisono is 851 E 6Th St, Beaumont, CA and can be reached out via phone at 951-845-2294.

Location: 851 E 6Th St, Beaumont, CA, 92223-2340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992158653
Provider Name
Jonathan Wibisono
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
851 E 6Th St, Beaumont, CA, 92223-2340
Phone Number
951-845-2294
Fax Number
Provider Enumeration Date
07/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
851 E 6Th St
City
Beaumont
State
California
Zip
92223-2340
Phone Number
951-845-2294
Fax Number
person
Provider Business Mailing Address Details
Address
851 E 6Th St
City
Beaumont
State
California
Zip
92223-2340
Phone Number
951-845-2294
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
95004343 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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