Jessica N Anderson
Peer Specialist in Elizabethtown, KY. Individual provider (NPI-1).
NPI number1760120133
StatusActive
Last updated in NPPESMay 25, 2022
Details
- NPI
- 1760120133
- Entity type
- Individual (NPI-1)
- Name
- Jessica N Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 25, 2022
- Certification date
- May 25, 2022
- Last updated
- May 25, 2022
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 | 1204489 | KY | Yes |
Practice location
100 Diecks DrElizabethtown, KY 42701-2443
Phone 270-319-6570
Mailing address
100 Diecks DrElizabethtown, KY 42701-2443
Phone 270-319-6570
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All 139 Peer Specialist providers in Elizabethtown · All 2,301 providers in Elizabethtown
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