MEDICARE: MRS. JESSICA RICHESSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251X00000X	Supports Brokerage Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	347C00000X	Private Vehicle
4	3747P1801X	Personal Care Attendant
5	376J00000X	Homemaker
6	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1770377079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JESSICA RICHESSON

Provider Business Mailing Address
First Line	:	1544 GREENVILLE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43223-3510
Country	:	US
Telephone Number	:	614-206-8918
Fax Number	:

Provider Business Practice Location Address
First Line	:	1544 GREENVILLE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43223-3510
Country	:	US
Telephone Number	:	614-206-8918
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2025
Last Update Date	:	04/21/2025

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Directions to “ MRS. JESSICA RICHESSON ” Practice Location

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