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

Jessica Nicole Churchville

Individual provider Nurse's Aide · NPI 1366915225

Jessica Nicole Churchville is a Nurse's Aide in Portola, California. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2019

Practice location Address checks out

482 4th Ave
Portola, CA 96122-9235
Phone: (702) 209-5809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X (NV)

Record details

NPI number1366915225
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2019
Last updated in NPPESJanuary 3, 2019