JESSICA ITEN NURSE PRACTIONER NPI 1538752431

NPI Information

NPI: 1538752431
Provider Name: JESSICA ITEN, NURSE PRACTIONER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
630 S BRAWLEY AVE STE 11
BRAWLEY, CA
ZIP 92227
Phone: (760) 623-1202
Get Directions

Jessica Iten, NURSE PRACTIONER is a family nurse practitioner in Brawley, CA. Jessica Iten, NURSE PRACTIONER NPI is 1538752431. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

630 S BRAWLEY AVE STE 11
BRAWLEY, CA
ZIP 92227-107
Phone: (760) 623-1202
Fax: (760) 623-1285

The enumeration date for this NPI number is 2/11/2021 and was last updated on 2/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95016154	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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