Individual
MS. JESSICA MICHELLE PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9508 STOCKDALE HWY STE 150, BAKERSFIELD, CA 93311-3623
(661) 345-1400
Mailing address
9508 STOCKDALE HWY STE 150, BAKERSFIELD, CA 93311-3623
(661) 345-1400
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20219
NP LICENSE
CA
01
—
664659
RN LICENSE
CA
Enumeration date
02/15/2011
Last updated
04/20/2011
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