Provider Demographics
NPI:1578202420
Name:CABRAL, JESSICA NADINE (LVN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:NADINE
Last Name:CABRAL
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:NADINE
Other - Last Name:NOONAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:1090 SONOMA AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-1242
Mailing Address - Country:US
Mailing Address - Phone:792-444-9534
Mailing Address - Fax:
Practice Address - Street 1:8086 ORANGE AVE
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-5941
Practice Address - Country:US
Practice Address - Phone:279-444-9534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA724055164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse