Individual provider · Type 1 NPI

Jean Ella Fish, RN

General Practice Registered Nurse · Acton, CA

NPI number 1649792219 Active

Practice location

30500 Arrestre Canyon Rd, PO Box 25
Acton, CA 93510

Fax (223) 269-9156

Mailing address

30500 Arrastre Canyon Rd
Acton, CA 93510-2160

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X429444 (CA)

General Practice Registered Nurse: Definition to come...

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About NPI 1649792219

Jean Ella Fish, RN's National Provider Identifier is 1649792219, issued on Jul 14, 2017. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Acton, CA. The record was last updated on Jul 21, 2022.