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

Mrs. Jessica Nicolle

Individual provider Family Nurse Practitioner · NPI 1376435305

Mrs. Jessica Nicolle is a Nurse Practitioner in Upland, California. Qualified in 2025, 1 year ago. Practices with Beaver Medical Group P C, a 255-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

999 San Bernardino Rd
Upland, CA 91786-4920
Phone: (909) 985-2811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7000 Boulder Ave, Highland, CA 92346-3348 — (909) 862-1191

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95035350 (CA)

Record details

NPI number1376435305
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Beaver Medical Group P C — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Upland