Healthcare Provider Details

I. General information

NPI: 1770287377
Provider Name (Legal Business Name): JESSICA GIOVANNA JARDINE ROWLEY C.HT.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 04/26/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E ESPLANADE DR STE 900
OXNARD CA
93036
US

IV. Provider business mailing address

300 E ESPLANADE DR STE 900
OXNARD CA
93036
US

V. Phone/Fax

Practice location:
  • Phone: 800-403-6346
  • Fax: 818-232-7138
Mailing address:
  • Phone: 818-462-6429
  • Fax: 818-232-7138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: