NPI 1013662659
Jessica Docherty, CARECOORDINATOR
Practice location
- Address
- 4801 S Timberline Cir, Wasilla, AK 99654-8750
- Phone
- (907) 521-1588
- Fax
- (888) 865-5534
- Mailing address
- PO Box 879349, Wasilla, AK 99687-9349
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1013662659
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Feb 2022
- Record last updated
- 11 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.