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JESSICA RENEE DAUGHERTY
NPI 1053145524
Peer Specialist in Tahlequah, OK

Active since August 28, 2024
200 MONROE ST APT 21, TAHLEQUAH, OK 74464(918) 570-6334 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Renee Daugherty NPPES

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

JESSICA RENEE DAUGHERTY (NPI 1053145524) is an individual peer specialist in Tahlequah, Oklahoma and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1053145524
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJESSICA RENEE DAUGHERTY
Location Address200 MONROE ST APT 21Tahlequah, OK 74464-5649
Mailing Address200 Monroe St Apt 21Tahlequah, OK 74464-5649 · (918) 570-6334
Phone(918) 570-6334
Sole ProprietorYes
Enumeration DateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1053145524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
200 MONROE ST APT 21, Tahlequah, OK 74464
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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 Daugherty's NPI number?

The NPI number for Jessica Daugherty is 1053145524. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Where is Jessica Daugherty located?

Jessica Daugherty practices at 200 Monroe St Apt 21, Tahlequah, OK 74464. The listed phone number is (918) 570-6334.

What is Jessica Daugherty'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 Daugherty was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.