MEDICARE: JESSICA MARIE VALVERDE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	95105238	CA

General Provider Information

NPI Number	:	1528914900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MARIE VALVERDE RN

Provider Business Mailing Address
First Line	:	1215 W FARNUM AVE APT 203
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-1664
Country	:	US
Telephone Number	:	530-351-2923
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 W FARNUM AVE APT 203
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-1664
Country	:	US
Telephone Number	:	530-351-2923
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/07/2026

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