MRS. JESSICA AMBER BAZAN DERAEDT LMSW
NPI 1083170963
Social Worker - Clinical in Jackson, MI
About Mrs. Jessica Amber Bazan Deraedt Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSICA AMBER BAZAN DERAEDT LMSW (NPI 1083170963) is an individual clinical provider in Jackson, Michigan, licensed in Michigan (6801101750) and active in the NPI registry since February 2019.
NPPES Registry Identity
Specialties & Licenses
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 Bazan Deraedt's NPI number?
The NPI number for Jessica Bazan Deraedt is 1083170963. It was assigned to this individual provider in the NPPES registry on February 15, 2019.
Where is Jessica Bazan Deraedt located?
Jessica Bazan Deraedt practices at 1108 Homewild Ave, Jackson, MI 49201. The listed phone number is (231) 679-0648.
What is Jessica Bazan Deraedt's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Jessica Bazan Deraedt was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.