Healthcare Provider Details

I. General information

NPI: 1306285853
Provider Name (Legal Business Name): HEATHER BELLE JABLONSKI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2013
Last Update Date: 06/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 CAMPUS DR
HANFORD CA
93230-4375
US

IV. Provider business mailing address

330 CAMPUS DR
HANFORD CA
93230-4375
US

V. Phone/Fax

Practice location:
  • Phone: 559-852-2593
  • Fax: 559-582-8388
Mailing address:
  • Phone: 559-852-2593
  • Fax: 559-582-8388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number282829
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: