Healthcare Provider Details

I. General information

NPI: 1841122579
Provider Name (Legal Business Name): JESSICA LOYA NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 WILSON ST
ARCATA CA
95521-5149
US

IV. Provider business mailing address

2315 WILSON ST
ARCATA CA
95521-5149
US

V. Phone/Fax

Practice location:
  • Phone: 369-227-1359
  • Fax:
Mailing address:
  • Phone: 369-227-1359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-4267567
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: