NPI 1134912439

Jalise Erin Hart

Practitioner Peer Specialist San Bernardino, CA

Practice location

Address: 1481 Windsor Dr, San Bernardino, CA 92404-5416
Phone: (909) 361-6470

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence MPSS-ZNGRTA (CA)

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Registry record

NPI: 1134912439
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 May 2025
Record last updated: 28 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.