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Jessica Nicole Gentry, CRM
Peer Specialist in Newport, Oregon
NPI 1558074427

Jessica Nicole Gentry is a Peer Specialist based in Siletz, OR. Jessica Nicole Gentry practices in Newport, OR and has the professional credentials of CRM. The NPI Number for Jessica Nicole Gentry is 1558074427 and holds a License No. (Oregon).

The current practice location address for Jessica Nicole Gentry is 608 Sw Hurbert St Apt 2, Newport, OR and can be reached out via phone at 541-272-3315.

Location: 608 Sw Hurbert St Apt 2, Newport, OR, 97380-2036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558074427
Provider Name
Jessica Nicole Gentry
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
608 Sw Hurbert St Apt 2, Newport, OR, 97380-2036
Phone Number
541-272-3315
Fax Number
Provider Enumeration Date
01/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
608 Sw Hurbert St Apt 2
City
Newport
State
Oregon
Zip
97365-4938
Phone Number
541-272-3315
Fax Number
person
Provider Business Mailing Address Details
Address
608 Sw Hurbert St Apt 2
City
Newport
State
Oregon
Zip
97365-4938
Phone Number
541-272-3315
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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