Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lashaunda Renee Jethro, PMHNP, DNP

Individual provider Registered Nurse · NPI 1497325187

Lashaunda Renee Jethro, PMHNP, DNP is a Nurse Practitioner in San Diego, California. Qualified in 2021, 5 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

4290 Polk Ave
San Diego, CA 92105-1524
Phone: (619) 563-0250
Fax: (858) 633-4681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP95017852 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95127420 (CA)

Record details

NPI number1497325187
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP , DNP
Sole proprietorNo
NPI enumeratedJune 25, 2021
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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