Trent, Jovan Vernon

Trent, Jovan Vernon is an individual health care provider with primary practice located at 1800 N California St , Stockton CA 95204. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Trent, Jovan Vernon can be contacted via phone (509) 720-0117.

Contact Information

Primary practice address
1800 N California St Stockton CA 95204
Phone: (509) 720-0117
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 95000485 California

Profile Details

NPI number 1538528518
LBN Legal business name Trent, Jovan Vernon
Credentials MSN, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2016
Last updated Jan 11th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538528518 NPPES
Washington MEDICAID 1538528518

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