Healthcare Provider Details

I. General information

NPI: 1629989124
Provider Name (Legal Business Name): JACQUELINE M BLESSING NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 SANTA MONICA AVE APT 3
SAN DIEGO CA
92107-2863
US

IV. Provider business mailing address

5050 SANTA MONICA AVE APT 3
SAN DIEGO CA
92107-2863
US

V. Phone/Fax

Practice location:
  • Phone: 858-247-2129
  • Fax:
Mailing address:
  • Phone: 858-247-2129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: