Individual
MS. JESSICA VIVIANA ARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
264 N HIGHLAND SPRINGS AVE STE 3D, BANNING, CA 92220-3085
(951) 845-6993
Mailing address
264 N HIGHLAND SPRINGS AVE STE 3D, BANNING, CA 92220-3085
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95012806
CA
Other
Enumeration date
09/24/2019
Last updated
03/05/2022
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