Kwon-Clavadetscher, Jayne
Kwon-Clavadetscher, Jayne is an individual health care provider with primary practice located at 911 E Plaza Blvd , National City CA 91950-3523. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Kwon-Clavadetscher, Jayne can be contacted via phone (619) 434-0299.Contact Information
Primary practice address
911 E Plaza Blvd
National City CA 91950-3523
Phone: (619) 434-0299
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN-1790 | Hawaii |
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 95004414 | California |
Profile Details
| NPI number | 1922400050 |
|---|---|
| LBN Legal business name | Kwon-Clavadetscher, Jayne |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2014 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922400050 | NPPES |
| Other | 13998254 | CAQH | |
| Other | 95004414 | CAQH | |
| Other | 1922400050 | CAQH |
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