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

Jessica Acock Carlisle

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073099479

Jessica Acock Carlisle is a Student in an Organized Health Care Education/Training Program in Berkeley, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

2222 Bancroft Way Spc 4300
Berkeley, CA 94720-4300
Phone: (510) 642-2367
Show map & directions

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 number1073099479
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2018
Last updated in NPPESJuly 18, 2018

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