Provider Demographics
NPI:1750637278
Name:CHEAL, JYL ALYCE (LVN)
Entity Type:Individual
Prefix:MS
First Name:JYL
Middle Name:ALYCE
Last Name:CHEAL
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:JYL
Other - Middle Name:ALYCE
Other - Last Name:HERMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:2 HILLSBORO CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926
Mailing Address - Country:US
Mailing Address - Phone:530-345-5028
Mailing Address - Fax:
Practice Address - Street 1:2 HILLSBORO CIR
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1518
Practice Address - Country:US
Practice Address - Phone:530-345-5028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN122507164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse