JADORE ADVANCED NURSING WOUND AND SKIN CARE
NPI 1609709427
Nurse Practitioner - Family in Beaumont, CA

Active since June 03, 2026
11420 PEPPER LN, BEAUMONT, CA 92223(310) 491-6928 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jadore Advanced Nursing Wound And Skin Care NPPES

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

JADORE ADVANCED NURSING WOUND AND SKIN CARE (NPI 1609709427) is a healthcare organization registered as a family in Beaumont, California and active in the NPI registry since June 2026. The organization lists Autumn Cobbs, Owner, as its authorized official.

NPPES Registry Identity

NPI1609709427
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJADORE ADVANCED NURSING WOUND AND SKIN CARE
Location Address11420 PEPPER LNBeaumont, CA 92223-7440
Mailing Address11420 Pepper LnBeaumont, CA 92223-7440 · (310) 491-6928
Organization SubpartYesParent: Jadore Nurse Practitioner Inc
Authorized OfficialAutumn CobbsOwner · (310) 491-6928
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
NPI 1609709427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
11420 PEPPER LN, Beaumont, CA 92223

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
11420 PEPPER LN
BEAUMOUNT, CA 92223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609709427, enumerated as an "organization" on June 03, 2026.

The provider is located at 11420 PEPPER LN BEAUMONT, CA 92223 and the phone number is (310) 491-6928.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.