Individual provider · Type 1 NPI

Jessica Nicolle

Family Nurse Practitioner · Upland, CA

NPI number 1376435305 Active

Practice location

999 San Bernardino Rd
Upland, CA 91786-4920

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other practice locations

  • 7000 Boulder Ave, Highland, CA 92346-3348 · (909) 862-1191

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP95035350 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1376435305

Jessica Nicolle's National Provider Identifier is 1376435305, issued on Jul 15, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Upland, CA. The record was last updated on Sep 24, 2025.