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NPI Code Detail

MEDICARE: JESSICA LYNN ARENDS PEER SUPPORT SPECIAL

MEDICARE: JESSICA LYNN ARENDS PEER SUPPORT SPECIAL
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistCG61385019WA

General Provider Information

NPI Number : 1033829221
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LYNN ARENDS PEER SUPPORT SPECIAL
Provider Business Mailing Address
First Line : 3754 W INDIAN TRAIL RD
Second Line :
City : SPOKANE
State : WA
Zip : 99208-4736
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3754 W INDIAN TRAIL RD
Second Line :
City : SPOKANE
State : WA
Zip : 99208-4736
Country : US
Telephone Number : 509-559-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2022
Last Update Date : 12/12/2025

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