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NPI Code Detail

MEDICARE: REBECCA ELAINE JESSEN

MEDICARE: REBECCA ELAINE JESSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult CompanionCA

General Provider Information

NPI Number : 1316708738
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ELAINE JESSEN
Provider Business Mailing Address
First Line : 3780 ROSIN CT STE 110
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1698
Country : US
Telephone Number : 916-441-0226
Fax Number : 916-441-0286
Provider Business Practice Location Address
First Line : 501 S ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-6952
Country : US
Telephone Number : 916-738-0438
Fax Number : 279-300-4573
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2024
Last Update Date : 12/05/2025

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Directions to “ REBECCA ELAINE JESSEN ” Practice Location

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