Vanderkallen, Jessica Nicole

Vanderkallen, Jessica Nicole is an individual health care provider with primary practice located at 7777 Milliken Ave , Rancho Cucamonga CA 91730-6780. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Vanderkallen, Jessica Nicole can be contacted via phone (909) 948-8050.

Contact Information

Primary practice address
7777 Milliken Ave Rancho Cucamonga CA 91730-6780
Phone: (909) 948-8050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA21848 California

Profile Details

NPI number 1861776049
LBN Legal business name Vanderkallen, Jessica Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2011
Last updated Jul 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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