Individual provider · Type 1 NPI

Jessica Couchman

Student in an Organized Health Care Education/Training Program · Palm Desert, CA

NPI number 1104741842 Active

Practice location

41550 Eclectic St
Palm Desert, CA 92260-1967

Call (877) 205-6269 Map

Fax (877) 214-4220

Mailing address

1017 48th St Apt Y
Norfolk, VA 23508-1962

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104741842

Jessica Couchman's National Provider Identifier is 1104741842, issued on Aug 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Palm Desert, CA. The record was last updated on Aug 12, 2026.