Individual provider · Type 1 NPI
Jordan Rebekah Fallentine, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Winchester, CA
NPI number
1912871583
Active
Practice location
30810 Southend Ln
Winchester, CA 92596-6340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95184578 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1912871583
Jordan Rebekah Fallentine, PMHNP's National Provider Identifier is 1912871583, issued on Oct 6, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Winchester, CA. The record was last updated on Oct 6, 2025.