Jessica Docherty, Care Coordinator
Case Manager/Care Coordinator in Wasilla, AK. Individual provider (NPI-1).
NPI number1013662659
StatusActive
Last updated in NPPESFeb 11, 2022
Details
- NPI
- 1013662659
- Entity type
- Individual (NPI-1)
- Name
- Jessica Docherty
- Credential
- Care Coordinator
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2022
- Certification date
- Feb 11, 2022
- Last updated
- Feb 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | AK | Yes |
Practice location
4801 S Timberline CirWasilla, AK 99654-8750
Phone 907-521-1588 · Fax 888-865-5534
Mailing address
Po Box 879349Wasilla, AK 99687-9349
Phone 907-521-1588 · Fax 888-865-5534
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All 167 Case Manager/Care Coordinator providers in Wasilla · All 3,076 providers in Wasilla
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