Healthcare Provider Details

I. General information

NPI: 1225261027
Provider Name (Legal Business Name): DON W JESKE NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2009
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 TRUXTUN AVE STE 200
BAKERSFIELD CA
93309-0656
US

IV. Provider business mailing address

17330 BEAR VALLEY RD
VICTORVILLE CA
92395-7741
US

V. Phone/Fax

Practice location:
  • Phone: 631-632-1540
  • Fax:
Mailing address:
  • Phone: 760-245-9999
  • Fax: 760-245-8855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13148
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: