Provider Demographics
NPI:1154765295
Name:ACHEE, JESSICA CASTELLA (RN)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:CASTELLA
Last Name:ACHEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32805 HEMINGWAY AVE
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706-2013
Mailing Address - Country:US
Mailing Address - Phone:225-715-4804
Mailing Address - Fax:225-658-9368
Practice Address - Street 1:32805 HEMINGWAY AVE
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70706-2013
Practice Address - Country:US
Practice Address - Phone:225-715-4804
Practice Address - Fax:225-658-9368
Is Sole Proprietor?:No
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN106281163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse