Healthcare Provider Details

I. General information

NPI: 1336900950
Provider Name (Legal Business Name): JESSICA JOYCE ESPINOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA JOYCE ADAME

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 ANTELOPE BLVD
RED BLUFF CA
96080-2807
US

IV. Provider business mailing address

20 ANTELOPE BLVD
RED BLUFF CA
96080-2807
US

V. Phone/Fax

Practice location:
  • Phone: 530-245-5805
  • Fax:
Mailing address:
  • Phone: 530-567-7600
  • Fax: 530-727-9094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number137286
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: