JESSICA SHANK
NPI 1326460940
Student in an Organized Health Care Education/Training Program in Petaluma, CA

Active since January 16, 2014
1500 PETALUMA BLVD S, PETALUMA, CA 94952(707) 765-8488 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Shank NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA SHANK (NPI 1326460940) is an individual student in an organized health care education/training program in Petaluma, California and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1326460940
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA SHANK
Location Address1500 PETALUMA BLVD SPetaluma, CA 94952-5545
Mailing Address1500 Petaluma Blvd SPetaluma, CA 94952-5545 · (707) 765-8488
Sole ProprietorYes
Enumeration DateJanuary 16, 2014
Last NPPES UpdateJanuary 29, 2014
NPI 1326460940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 PETALUMA BLVD S, Petaluma, CA 94952

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.

Rehabilitation Practitioner
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Rehabilitation Practitioner
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Community/Behavioral Health
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Day Training/Habilitation Specialist
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Counselor (Mental Health)
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Marriage & Family Therapist
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Marriage & Family Therapist
1500 PETALUMA BLVD S, SUITE A
PETALUMA, CA 94952
Day Training/Habilitation Specialist
1500 PETALUMA BLVD S
PETALUMA, CA 94952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Shank's NPI number?

The NPI number for Jessica Shank is 1326460940. It was assigned to this individual provider in the NPPES registry on January 16, 2014.

Where is Jessica Shank located?

Jessica Shank practices at 1500 Petaluma Blvd S, Petaluma, CA 94952. The listed phone number is (707) 765-8488.

What is Jessica Shank's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessica Shank was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.