Jessica Marie Costello, M.ED.
Individual provider Active NPI Case Manager/Care Coordinator · Tucson, AZ
NPI 1134434244 · NPPES record last updated Aug 12, 2010
Key facts
- NPI
- 1134434244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2525 W Anklam Rd
#111
Tucson, AZ 85745-1874 - Phone
- (614) 716-8637
- NPI assigned
- Aug 12, 2010
- Sex
- Female
- 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
- Credentials
- Master of Education
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
2525 W Anklam Rd
#111
Tucson, AZ 85745-1874
Mailing address
2525 W Anklam Rd
#111
Tucson, AZ 85745-1874
Other providers in Tucson, AZ
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Asheley Costello
- Alexis Rae Coston
- Emily H Coston
- Rita Roth Coston
- Alan S Cota
- Aylin Cota
All providers in Tucson, AZ · Case Manager/Care Coordinator in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2010. 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.