Individual
JOURDAN GRACE JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1603 E CASTLECREST AVE, VISALIA, CA 93292-5598
(559) 280-5168
Mailing address
1603 E CASTLECREST AVE, VISALIA, CA 93292-5598
(559) 280-5168
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
95134478
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002554
CA
Other
Enumeration date
07/10/2024
Last updated
07/30/2025
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