Jessica Gerner Vadovicky, NP
Nurse Practitioner, Psych/Mental Health in Long Beach, CA. Individual provider (NPI-1).
NPI number1164088944
StatusActive
Last updated in NPPESMay 16, 2019
Details
- NPI
- 1164088944
- Entity type
- Individual (NPI-1)
- Name
- Jessica Gerner Vadovicky
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 16, 2019
- Last updated
- May 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 95011038 | CA | Yes |
Other names
- Jessica Gerner (Former Name)
Practice location
4201 Long Beach Blvd Ste 203Long Beach, CA 90807-2020
Phone 562-427-3897 · Fax 562-595-7703
Mailing address
4201 Long Beach Blvd Ste 203Long Beach, CA 90807-2020
Phone 562-427-3897 · Fax 562-595-7703
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