JESSEE DYLAN WALBURN
NPI 1124848130
Peer Specialist in Stark City, MO

Q: What is Jessee Walburn's NPI number?

The NPI number for Jessee Walburn is 1124848130. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Q: What is Jessee Walburn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessee Walburn was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since October 14, 2024

415 SOUTH ST, STARK CITY, MO 64866(417) 602-9219 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessee Dylan Walburn NPPES

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

JESSEE DYLAN WALBURN (NPI 1124848130) is an individual peer specialist in Stark City, Missouri and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1124848130

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameJESSEE DYLAN WALBURN

Location Address415 SOUTH STStark City, MO 64866-9627

Mailing Address415 South StStark City, MO 64866-9627 · (417) 602-9219

Phone(417) 602-9219

Sole ProprietorYes

Enumeration DateOctober 14, 2024

NPPES CertifiedOctober 14, 2024

✔ NPI 1124848130 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.

415 SOUTH ST, Stark City, MO 64866

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jessee Walburn's NPI number?

The NPI number for Jessee Walburn is 1124848130. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is Jessee Walburn located?

Jessee Walburn practices at 415 South St, Stark City, MO 64866. The listed phone number is (417) 602-9219.

What is Jessee Walburn'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 Jessee Walburn was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.