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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 429444 (CA) |
General Practice Registered Nurse: Definition to come...
Other general practice registered nurse providers in Acton
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.