Individual
JESSICA TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313-5172
(909) 864-1097
Mailing address
9631 DUMBRECK DR, HUNTINGTON BEACH, CA 92646-6004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95013096
CA
Other
Enumeration date
11/26/2019
Last updated
02/26/2026
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