Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA NICOLE CHURCHVILLE
Active Sole ProprietorJESSICA NICOLE CHURCHVILLE is a Nurse's Aide healthcare provider located in PORTOLA, California. NPI 1366915225 is currently active in the NPPES registry. Verify at CMS.
Nurse's Aide · PORTOLA, CA
Registration Details
- NPI Number
- 1366915225
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 3, 2019 (7.6437743337156 yrs)
- Last Updated
- Jan 3, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
482 4TH AVEPORTOLA, CA, 961229235Browse CA providers · Browse ZIP 96122
- Phone
- 7022095809
- Primary Specialty
-
Nurse's Aide
376K00000X
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.