NPI 1093641912

Jasmyne Russell-Dicker, CPPS

Practitioner Peer Specialist Fayetteville, NC

Practice location

Address: 214 Fairway Dr, Fayetteville, NC 28305-5502
Phone: (910) 729-9867

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 2024-1165201 (NC)

Other Peer Specialist providers in North Carolina →

Registry record

NPI: 1093641912
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2026
Record last updated: 18 Jun 2026

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.