Individual provider · Type 1 NPI
Jessica Tello-Evans, B.S.N., R.N., P.H.N.
Community Health Registered Nurse · Fairfield, CA
NPI number
1972655660
Active
Practice location
275 Beck Ave
Fairfield, CA 94533-6804
Fax (707) 421-6618
Mailing address
1748 Newark Ln
Suisun City, CA 94585-6323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 628963 (CA) |
Community Health Registered Nurse: Definition to come...
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About NPI 1972655660
Jessica Tello-Evans, B.S.N., R.N., P.H.N.'s National Provider Identifier is 1972655660, issued on Jan 16, 2007. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Fairfield, CA. The record was last updated on Jul 8, 2007.