Healthcare Provider Details

I. General information

NPI: 1164346342
Provider Name (Legal Business Name): JESSICA RAE ELDREDGE BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 COHASSET RD STE 15
CHICO CA
95926-2260
US

IV. Provider business mailing address

PO BOX 696
FOREST RANCH CA
95942-0696
US

V. Phone/Fax

Practice location:
  • Phone: 530-433-2500
  • Fax:
Mailing address:
  • Phone: 530-433-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: