Individual
JESSICA TIFFANY CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
PO BOX 91598, PASADENA, CA 91109-1598
(626) 200-3651
Mailing address
PO BOX 91598, PASADENA, CA 91109-1598
(626) 200-3651
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95036753
CA
Other
Enumeration date
05/24/2016
Last updated
11/16/2025
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