NPI 1043065543

Jessica Renee Tanner

Practitioner Peer Specialist Vancouver, WA

Practice location

Address: 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717
Phone: (360) 397-8246
Mailing address: 119 Sunset Pl, Longview, WA 98632-5352

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence CG61551806 (WA)

Other Peer Specialist providers in Washington →

Registry record

NPI: 1043065543
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2024
Record last updated: 19 Apr 2024

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.