Provider Demographics
NPI:1841186988
Name:PEABODY, JORIEL
Entity type:Individual
Prefix:
First Name:JORIEL
Middle Name:
Last Name:PEABODY
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 NUNNELEY RD
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-4825
Mailing Address - Country:US
Mailing Address - Phone:530-403-8121
Mailing Address - Fax:
Practice Address - Street 1:1307 NUNNELEY RD
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-4825
Practice Address - Country:US
Practice Address - Phone:530-403-8121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula