Jennifer Desmond
Peer Specialist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1639610884
StatusActive
Last updated in NPPESMar 20, 2017
Details
- NPI
- 1639610884
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Desmond
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2017
- Last updated
- Mar 20, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
112 N Broad StPhiladelphia, PA 19102-1512
Phone 215-568-0860
Mailing address
112 N Broad StPhiladelphia, PA 19102-1512
Phone 215-568-0860
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 18 Peer Specialist providers in Philadelphia · All 53,595 providers in Philadelphia
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