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JESSICA RENEE TANNER
NPI 1043065543
Peer Specialist in Vancouver, WA

Active since April 19, 2024
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661(360) 397-8246 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Renee Tanner NPPES

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

JESSICA RENEE TANNER (NPI 1043065543) is an individual peer specialist in Vancouver, Washington, licensed in Washington (CG61551806) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1043065543
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJESSICA RENEE TANNER
Location Address1601 E FOURTH PLAIN BLVD BLDG 17Vancouver, WA 98661-3717
Mailing Address119 Sunset PlLongview, WA 98632-5352
Phone(360) 397-8246
Sole ProprietorNo
Enumeration DateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1043065543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WA · CG61551806
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1601 E FOURTH PLAIN BLVD BLDG 17, Vancouver, WA 98661
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARK COUNTY CURRENT EXPENSE & CLARK COUNTY AUDITORS OFFICE
Public Health or Welfare
1601 E FOURTH PLAIN BLVD BLDG 17, 3RD FLOOR
VANCOUVER, WA 98661
Clark County (360) 397-8473
AMANDA LANCASTER
Counselor (Mental Health)
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8484
LAURA LYNN TENNEY SUDPT
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
SCOTT C CHRISTENSEN SUDP-T
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
LAVONNA KOFSTAD
Counselor (Mental Health)
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8484
SHANNON N MCCARTHY RN
Registered Nurse
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (564) 397-8000
TAYLOR MICHELLE FAULK CDPT
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (800) 604-0025
ANDREA STRAHL RN
Registered Nurse (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246

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 Tanner's NPI number?

The NPI number for Jessica Tanner is 1043065543. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Jessica Tanner located?

Jessica Tanner practices at 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661. The listed phone number is (360) 397-8246.

What is Jessica Tanner's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jessica Tanner was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.