Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA SUSAN CARBALLO, CNM
ActiveJESSICA SUSAN CARBALLO, CNM is a Advanced Practice Midwife healthcare provider located in FORT IRWIN, California. NPI 1285222398 is currently active in the NPPES registry. Verify at CMS.
Advanced Practice Midwife · FORT IRWIN, CA
Registration Details
- NPI Number
- 1285222398
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2021 (5.5898916964531 yrs)
- Last Updated
- Aug 2, 2024
- Licenses
-
RN60857557 (WA)AP61176629 (WA)
Practice Information
- Address
-
BLDG 390 N LOOP RDFORT IRWIN, CA, 92310Browse CA providers · Browse ZIP 92310
- Phone
- 7603835155
- Primary Specialty
-
Advanced Practice Midwife
367A00000X
- Additional Specialty
- Advanced Practice Midwife
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.