Most Relevant Information
Provider Data
| NPI Number: | 1003302605 |
| Provider Name: | JEREMY R VERHINES NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 95009393 |
Most Important Dates
| Enumeration Date: | 07/06/2018 |
| Last Updated: | 08/28/2023 |
Provider Practice Location
31877 DEL OBISPO ST STE 205
SAN JUAN CAPISTRANO
CA
926753228
Practice Location Phone/Fax
| Phone: | 9495031766 |
| Fax: | 2522502029 |
Provider Mailing Location
32565 GOLDEN LANTERN ST # B479
DANA POINT
CA
926293261
Provider Mailing Phone/Fax
| Phone: | 9497507082 |
| Fax: | 2522502029 |