Provider Demographics
NPI:1770287377
Name:JARDINE ROWLEY, JESSICA GIOVANNA (CHT)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:GIOVANNA
Last Name:JARDINE ROWLEY
Suffix:
Gender:F
Credentials:CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 E ESPLANADE DR STE 900
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036
Mailing Address - Country:US
Mailing Address - Phone:818-462-6429
Mailing Address - Fax:818-232-7138
Practice Address - Street 1:300 E ESPLANADE DR STE 900
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036
Practice Address - Country:US
Practice Address - Phone:800-403-6346
Practice Address - Fax:818-232-7138
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171400000XOther Service ProvidersHealth & Wellness Coach
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist