Provider Demographics
NPI:1437797065
Name:PAREL, JESSICA L (RN-BSN, CSN, PHN)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:L
Last Name:PAREL
Suffix:
Gender:F
Credentials:RN-BSN, CSN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 ELENDA ST
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-4101
Mailing Address - Country:US
Mailing Address - Phone:310-842-4200
Mailing Address - Fax:
Practice Address - Street 1:4401 ELENDA ST
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-4101
Practice Address - Country:US
Practice Address - Phone:310-842-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95050540163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool