JORDAN REBEKAH FALLENTINE PMHNP NPI 1912871583

NPI Information

  • NPI: 1912871583
  • Provider Name: JORDAN REBEKAH FALLENTINE, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 30810 SOUTHEND LN
    WINCHESTER, CA
    ZIP 92596
  • Phone: (951) 704-6975

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NPI Details

Jordan Rebekah Fallentine, PMHNP is a psychiatric/mental health nurse practitioner in Winchester, CA. Jordan Rebekah Fallentine, PMHNP NPI is 1912871583. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30810 SOUTHEND LN
WINCHESTER, CA
ZIP 92596-340
Phone: (951) 704-6975

The enumeration date for this NPI number is 10/6/2025 and was last updated on 10/6/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health95184578CALIFORNIAYes

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: 3/30/2025

NPI Synchronization or Removal

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