Jessica Andree
Individual provider Active NPI Psychologist · Fort Campbell, KY
NPI 1679294755 · NPPES record last updated Jan 6, 2026
Key facts
- NPI
- 1679294755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 0810008408 (VA)
- Practice address
- 650 Joel Dr
Fort Campbell, KY 42223-5318 - Phone
- (270) 412-1038
- NPI assigned
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 0810008408 | VA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810008408 | VA | Yes |
Addresses
Primary practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Other providers in Fort Campbell, KY
- Krystal Shonne' Anderson-Watts
- Brent Eric Anderson
- Melissa Lou Anderson
- Rita Ann Anderson
- Ruth Mozell Anderson
- Jamie Nathan Andrews
- Shandra Elaine Andry
- Anthony Patsy Apa
- George Nelson Appenzeller
- Amber Archey
All providers in Fort Campbell, KY · Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2026. 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.