MS. JEAN ELLA FISH RN
NPI 1649792219
Registered Nurse - General Practice in Acton, CA
Active since July 14, 2017
30500 ARRESTRE CANYON RD, PO BOX 25, ACTON, CA 93510(661) 223-8710(223) 269-9156 Get Directions Write a Review
About Ms. Jean Ella Fish Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JEAN ELLA FISH RN (NPI 1649792219) is an individual general practice provider in Acton, California, licensed in California (429444) and active in the NPI registry since July 2017.
NPPES Registry Identity
NPI1649792219
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameMS. JEAN ELLA FISHCredential: RN
Location Address30500 ARRESTRE CANYON RD, PO BOX 25Acton, CA 93510
Mailing Address30500 Arrastre Canyon RdActon, CA 93510-2160 · (661) 223-8710 · Fax (223) 269-9156
Phone(661) 223-8710
Fax(223) 269-9156
Sole ProprietorNo
Enumeration DateJuly 14, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1649792219 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in CA · 429444
30500 ARRESTRE CANYON RD, Acton, CA 93510
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649792219, enumerated as an "individual" on July 14, 2017.
The provider is located at 30500 ARRESTRE CANYON RD PO BOX 25 ACTON, CA 93510 and the phone number is (661) 223-8710.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
