JACQUELIN JANET TEJEDA RN
NPI 1275108680
Registered Nurse - Case Management in Grand Terrace, CA
Active since May 26, 2021
About Jacquelin Janet Tejeda Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELIN JANET TEJEDA RN (NPI 1275108680) is an individual case management provider in Grand Terrace, California, licensed in California (95178939) and active in the NPI registry since May 2021.
NPPES Registry Identity
NPI1275108680
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameJACQUELIN JANET TEJEDACredential: RN
Location Address11980 MOUNT VERNON AVEGrand Terrace, CA 92313-5172
Mailing Address21641 Burch StPerris, CA 92570-5648 · (951) 346-6921
Phone(951) 654-0803
Sole ProprietorNo
Enumeration DateMay 26, 2021
NPPES CertifiedMay 26, 2021
✔ NPI 1275108680 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in CA · 95178939
11980 MOUNT VERNON AVE, Grand Terrace, CA 92313
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Family)
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 92313
GRAND TERRACE, CA 92313
Clinic/Center (Primary Care)
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 92313
GRAND TERRACE, CA 92313
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 92313
GRAND TERRACE, CA 92313
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275108680, enumerated as an "individual" on May 26, 2021.
The provider is located at 11980 MOUNT VERNON AVE GRAND TERRACE, CA 92313 and the phone number is (951) 654-0803.
Registered Nurse with taxonomy code 163WC0400X and a focus in Case Management.
