Individual provider · Type 1 NPI
Jake Anthony Peccia, RN, BSN, EMT-P
Psychiatric/Mental Health Registered Nurse · Sacramento, CA
NPI number
1598029415
Active
Practice location
2150 Stockton Blvd
Sacramento, CA 95817-1337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 768702 (CA) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 768702 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1598029415
Jake Anthony Peccia, RN, BSN, EMT-P's National Provider Identifier is 1598029415, issued on Jun 26, 2012. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Sacramento, CA. The record was last updated on Jun 26, 2012.