Individual provider · Type 1 NPI

Jessica Rae Locke

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

NPI number 1376467092 Active

Practice location

3633 E Broadway
Long Beach, CA 90803-6035

Call (562) 285-1330 Map

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 1376467092

Jessica Rae Locke's National Provider Identifier is 1376467092, issued on Aug 5, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Beach, CA. The record was last updated on Aug 5, 2026.