Jessamie Jean Garvin
Individual provider Active NPI Women's Health Nurse Practitioner · Mentone, CA
NPI 1245192129 · NPPES record last updated Nov 29, 2025
Key facts
- NPI
- 1245192129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 840250 (CA)
- Practice address
- 1216 Florence Dr
Mentone, CA 92359-9617 - Phone
- (909) 938-1385
- NPI assigned
- Nov 29, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 840250 | CA | MD | Women's Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 840250 | CA | Yes |
Addresses
Primary practice location
1216 Florence Dr
Mentone, CA 92359-9617
Mailing address
1216 Florence Dr
Mentone, CA 92359-9617
Phone (909) 938-1385
Other providers in Mentone, CA
- Mohamed M Elhanafy
- Lara Elijah
- Starr Lynette Fox
- Future Stars Youth Services
- Mishell Lynne Gama
- Christy Hart
- Healthcare Innovations Network, Inc
- Elizabeth An Hess
- James Patrick Caley DDS
- Tabitha Lopez
All providers in Mentone, CA · Women's Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.