Provider Demographics
NPI:1962901199
Name:APPELL, JEANNE RACHEL (RN, NP, CDE)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:RACHEL
Last Name:APPELL
Suffix:
Gender:F
Credentials:RN, NP, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12025 PROSPECT HILL DR
Mailing Address - Street 2:
Mailing Address - City:GOLD RIVER
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7532
Mailing Address - Country:US
Mailing Address - Phone:916-337-0728
Mailing Address - Fax:
Practice Address - Street 1:3581 PALMER DR STE 201
Practice Address - Street 2:
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682-8237
Practice Address - Country:US
Practice Address - Phone:530-672-7021
Practice Address - Fax:530-748-0338
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA505268163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator