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JESSICA MARIE WALDEMAR
NPI 1023753746
Counselor - Mental Health in North Branch, MN

Active since April 28, 2022
5026 EVERGREEN TRL, NORTH BRANCH, MN 55056(651) 755-5979 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2022, Apr 28, 2022 (2 updates tracked since 2022).

About Jessica Marie Waldemar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA MARIE WALDEMAR (NPI 1023753746) is an individual mental health provider in North Branch, Minnesota and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1023753746
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA MARIE WALDEMAR
Location Address5026 EVERGREEN TRLNorth Branch, MN 55056-5562
Mailing Address5026 Evergreen TrlNorth Branch, MN 55056-5562 · (651) 755-5979
Phone(651) 755-5979
Sole ProprietorNo
Enumeration DateApril 28, 2022
Last NPPES UpdateMay 2, 20222 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1023753746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5026 EVERGREEN TRL, North Branch, MN 55056
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Other Names 1

Former Name (1)Jessica Marie Venhuizen Ma, Ms

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Waldemar's NPI number?

The NPI number for Jessica Waldemar is 1023753746. It was assigned to this individual provider in the NPPES registry on April 28, 2022. The provider is also known as Jessica Marie Venhuizen Ma, Ms.

Where is Jessica Waldemar located?

Jessica Waldemar practices at 5026 Evergreen Trl, North Branch, MN 55056. The listed phone number is (651) 755-5979.

What is Jessica Waldemar's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jessica Waldemar was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.