Jethrone Role, MSN, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

676330 Issued in CA

Practice address

101 E Redlands Blvd RM 1400B
San Bernardino, CA 92408-3710

Phone

(909) 651-4000

NPI assigned

Sep 10, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505001600000",
    "number": "1558880617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25841 SILVA CT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546551",
            "telephone_number": "323-346-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD RM 1400B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083710",
            "telephone_number": "909-651-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLE",
        "first_name": "JETHRONE",
        "credential": "MSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-10",
        "last_updated": "2017-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "676330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Juliette Rojas I
• Mona Roknsharifi
• Johanna Roldan Beltran
• Anthony Evan Roldan
• Gizelle Roldan, ASW
• Lois Kathleen Rolla
• Michelle Mendiola Rolle-Roda, OTR
• Rolling Start Inc.
• Elsie Renee Rollins
• Edgar Omar Roman

• Administrator Registered Nurse in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Administrator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.