Healthcare Provider Details

I. General information

NPI: 1053247023
Provider Name (Legal Business Name): JONABEL MARCHIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35784 RHONE LN
WINCHESTER CA
92596-9163
US

IV. Provider business mailing address

35784 RHONE LN
WINCHESTER CA
92596-9163
US

V. Phone/Fax

Practice location:
  • Phone: 408-242-8520
  • Fax: 408-242-8520
Mailing address:
  • Phone: 408-242-8520
  • Fax: 408-242-8520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95039324
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: