| Jjm Integrative Health Advanced Nursing Inc | |
|
941 Merchant Sreet Suite A Vacaville CA 95688 | |
| (707) 249-6898 | |
| Not Available |
| Full Name | Jjm Integrative Health Advanced Nursing Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 941 Merchant Sreet, Vacaville, California |
| Authorized Official Name and Position | Janice Ivie (SECRETARY) |
| Authorized Official Contact | 7076284140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jjm Integrative Health Advanced Nursing Inc 941 Merchant St Ste A Vacaville CA 95688-5315 Ph: () - | Jjm Integrative Health Advanced Nursing Inc 941 Merchant Sreet Suite A Vacaville CA 95688 Ph: (707) 249-6898 |
| NPI Number | 1477316057 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Medicare PECOS PAC ID | 0648795518 |
|---|---|
| Medicare Enrollment ID | O20250423002117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477316057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Janice C Ivie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184058737 PECOS PAC ID: 8628398088 Enrollment ID: I20150526002385 |
| Provider Name | Ronald James Tupaz Vergara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265257026 PECOS PAC ID: 6608396593 Enrollment ID: I20250221002852 |
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