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JESSICA NICOLE CHURCHVILLE
NPI 1366915225
Nurse's Aide in Portola, CA

Active since January 03, 2019
482 4TH AVE, PORTOLA, CA 96122(702) 209-5809 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Nicole Churchville NPPES

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

JESSICA NICOLE CHURCHVILLE (NPI 1366915225) is an individual nurse's aide in Portola, California and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1366915225
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameJESSICA NICOLE CHURCHVILLE
Location Address482 4TH AVEPortola, CA 96122-9235
Mailing Address482 4th AvePortola, CA 96122-9235 · (702) 209-5809
Phone(702) 209-5809
Sole ProprietorYes
Enumeration DateJanuary 3, 2019
✔ NPI 1366915225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
482 4TH AVE, Portola, CA 96122
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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 Churchville's NPI number?

The NPI number for Jessica Churchville is 1366915225. It was assigned to this individual provider in the NPPES registry on January 3, 2019.

Where is Jessica Churchville located?

Jessica Churchville practices at 482 4th Ave, Portola, CA 96122. The listed phone number is (702) 209-5809.

What is Jessica Churchville's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Jessica Churchville was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.