Jessica Susan Carballo, CNM is a
Advanced Practice Midwife based in Fort Irwin, California. Jessica Susan Carballo is licensed to practice in Washington (license number AP61176629) and her current practice location is
Bldg 390 N Loop Rd, Fort Irwin, California. She can be reached at her office (for appointments etc.) via phone at
(760) 383-5155.
NPI number for Jessica Susan Carballo is 1285222398 and her current mailing address is 390 N Loop Rd, Fort Irwin, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285222398.
Provider's Profile
Full Name | Jessica Susan Carballo |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | Bldg 390 N Loop Rd, Fort Irwin, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285222398
- Provider Enumeration Date: 01/05/2021
- Last Update Date: 08/02/2024
Medical Identifiers
Medical identifiers for Jessica Susan Carballo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285222398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WM0102X | Registered Nurse - Maternal Newborn | RN60857557 (Washington) | Secondary |
367A00000X | Advanced Practice Midwife | AP61176629 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Susan Carballo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Susan Carballo, CNM 390 N Loop Rd, Fort Irwin, CA 92310 Ph: () - | Jessica Susan Carballo, CNM Bldg 390 N Loop Rd, Fort Irwin, CA 92310 Ph: (760) 383-5155 |
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