Jessica D Edmondson
Peer Specialist in Vineyard Haven, Massachusetts
1689302762- Practice location
- 111 Edgartown RD, Vineyard Haven, MA 02568-5699
- Phone
- 508-693-7900
- Fax
- —
- Last updated
- August 8, 2022
Jessica Dawn Edmondson is a Peer Specialist based in Vineyard Haven, MA. Jessica Dawn Edmondson practices in Vineyard Haven, MA. The NPI Number for Jessica Dawn Edmondson is 1689302762. The current practice location address for Jessica Dawn Edmondson is 111 Edgartown RD, Vineyard Haven, MA 02568-5699 and can be reached out via phone at 508-693-7900.
Provider Profile Details
- NPI Number
- 1689302762
- Provider Name
- Jessica Dawn Edmondson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 Edgartown RD, Vineyard Haven, MA 02568-5699
- Phone Number
- 508-693-7900
- Primary Taxonomy
- Peer Specialist · 175T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 8, 2022
- Last Update Date
- August 8, 2022
- Certification Date
- August 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Edgartown RD
Vineyard Haven, MA 02568-5699 - City
- Vineyard Haven
- State
- Massachusetts
- Zip
- 02568-5699
- Phone Number
- 508-693-7900
Provider Business Mailing Address Details
- Address
- 111 Edgartown RD
Vineyard Haven, MA 02568-5699 - City
- Vineyard Haven
- State
- MA
- Zip
- 02568-5699
- Phone Number
- 508-693-7900
License Information
- License State
- MA
- Taxonomy
- Peer Specialist · 175T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jessica D Edmondson?
The NPI number of Jessica D Edmondson is 1689302762. It was assigned on August 8, 2022 and is currently active in the NPPES registry.
What is the specialty of Jessica D Edmondson?
Jessica D Edmondson is registered under the primary taxonomy Peer Specialist (code 175T00000X).
Where does Jessica D Edmondson practice?
The practice location is 111 Edgartown RD, Vineyard Haven, MA 02568-5699. The office can be reached at 508-693-7900 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689302762 directly on the NPPES registry website.