Healthcare Provider Details

I. General information

NPI: 1871486621
Provider Name (Legal Business Name): JESSICA ROCKOWITZ RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W CREST ST STE 210
ESCONDIDO CA
92025-1739
US

IV. Provider business mailing address

751 BANYAN CT
SAN MARCOS CA
92069-1956
US

V. Phone/Fax

Practice location:
  • Phone: 760-747-3424
  • Fax: 760-888-8153
Mailing address:
  • Phone: 760-888-8153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number5419040
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: