NPI Code Detail JSON Logo

1578202420 NPI number — JESSICA NADINE CABRAL LVN

NPI Number: 1578202420
Health Care Provider/Practitioner: JESSICA NADINE CABRAL LVN

Information about “1578202420” NPI (JESSICA NADINE CABRAL LVN) exists in 1578202420 in HTML format HTML  |  1578202420 in plain Text format TXT  |  1578202420 in PDF (Portable Document Format) PDF  |  1578202420 in an XML format XML  formats.

NPI Number : 1578202420 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578202420",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CABRAL",
    "FirstName": "JESSICA",
    "MiddleName": "NADINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LVN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NOONAN",
    "OtherFirstName": "JESSICA",
    "OtherMiddleName": "NADINE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LVN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1090 SONOMA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SACRAMENTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95815-1242",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "792-444-9534",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8086 ORANGE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAIR OAKS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95628-5941",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "279-444-9534",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/31/2022",
    "LastUpdateDate": "05/20/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "164X00000X",
        "TaxonomyName": "Licensed Vocational Nurse",
        "LicenseNumber": "724055",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.