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Jessica Acock Carlisle
Student in an Organized Health Care Education/Training Program in Berkeley, California
NPI 1073099479

Jessica Acock Carlisle is a Student in an Organized Health Care Education/Training Program based in San Francisco, CA. Jessica Acock Carlisle practices in Berkeley, CA. The NPI Number for Jessica Acock Carlisle is 1073099479 and holds a License No. (California).

The current practice location address for Jessica Acock Carlisle is 2222 Bancroft Way Spc 4300, Berkeley, CA and can be reached out via phone at 510-642-2367.

Location: 2222 Bancroft Way Spc 4300, Berkeley, CA, 94122-3420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073099479
Provider Name
Jessica Acock Carlisle
Credential
Provider Entity Type
Individual
Gender
Female
Address
2222 Bancroft Way Spc 4300, Berkeley, CA, 94122-3420
Phone Number
510-642-2367
Fax Number
Provider Enumeration Date
07/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2222 Bancroft Way Spc 4300
City
Berkeley
State
California
Zip
94720-4300
Phone Number
510-642-2367
Fax Number
person
Provider Business Mailing Address Details
Address
2222 Bancroft Way Spc 4300
City
Berkeley
State
California
Zip
94720-4300
Phone Number
510-642-2367
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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.
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