Provider Demographics
NPI:1871486621
Name:ROCKOWITZ, JESSICA (RN, BSN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:ROCKOWITZ
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 BANYAN CT
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-1956
Mailing Address - Country:US
Mailing Address - Phone:760-888-8153
Mailing Address - Fax:
Practice Address - Street 1:221 W CREST ST STE 210
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-1739
Practice Address - Country:US
Practice Address - Phone:760-747-3424
Practice Address - Fax:760-888-8153
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5419040163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health