Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackline Kissi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073494332

Jackline Kissi is a Student in an Organized Health Care Education/Training Program in Santa Maria, California. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023
Phone: (805) 621-7669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1073494332
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

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