Individual provider · Type 1 NPI

Jessica Shank

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

NPI number 1326460940 Active

Practice location

1500 Petaluma Blvd S
Petaluma, CA 94952-5545

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 1326460940

Jessica Shank's National Provider Identifier is 1326460940, issued on Jan 16, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Petaluma, CA. The record was last updated on Jan 29, 2014.