Provider Demographics
NPI:1912193947
Name:BROWNRIGG, JESSICA ELIZABETH (RN, NP)
Entity Type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:ELIZABETH
Last Name:BROWNRIGG
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:MRS
Other - First Name:JESSICA
Other - Middle Name:ELIZABETH
Other - Last Name:BERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, NP
Mailing Address - Street 1:5420 GRANBY DR
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3713
Mailing Address - Country:US
Mailing Address - Phone:714-485-2323
Mailing Address - Fax:
Practice Address - Street 1:5420 GRANBY DR
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-3713
Practice Address - Country:US
Practice Address - Phone:714-485-2323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17746363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology