Jessica N Anderson
Individual provider Active NPI Peer Specialist · Elizabethtown, KY
NPI 1760120133 · NPPES record last updated May 25, 2022
Key facts
- NPI
- 1760120133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- 1204489 (KY)
- Practice address
- 100 Diecks Dr
Elizabethtown, KY 42701-2443 - Phone
- (270) 319-6570
- NPI assigned
- May 25, 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 |
|---|---|---|---|
| 1204489 | KY | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 1204489 | KY | Yes |
Addresses
Primary practice location
100 Diecks Dr
Elizabethtown, KY 42701-2443
Mailing address
100 Diecks Dr
Elizabethtown, KY 42701-2443
Phone (270) 319-6570
Other providers in Elizabethtown, KY
- Araz Ahmed Amedy
- American Chiropractic Wellness Center, Inc.
- Anwuli N. Anazia-Wilson
- Christopher Lee Anderson
- Hilary Anderson
- Kevin Carter Andres
- Douglas Michael Ansert Jr.
- Anthony E. Abang, M.D., PLLC.
- Beenash Anwer
- Apothecare Pharmacy of Elizabethtown P S C
All providers in Elizabethtown, KY · Peer Specialist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2022. 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.