Provider Demographics
NPI:1497166961
Name:ARNOLD, JESSE STEVEN (NP)
Entity Type:Individual
Prefix:
First Name:JESSE
Middle Name:STEVEN
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 CALIFORNIA ST
Mailing Address - Street 2:STE A
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1953
Mailing Address - Country:US
Mailing Address - Phone:530-247-7070
Mailing Address - Fax:530-244-7246
Practice Address - Street 1:1975 MAXWELL AVE
Practice Address - Street 2:APT 341
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95776-5172
Practice Address - Country:US
Practice Address - Phone:530-941-3895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANPF95001900163WR0006X, 363LA2100X
CA95001900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care