MRS. KADEDRA KATRINA JAMISON
NPI 1902473887
Peer Specialist in Fresno, CA
- Individual
- Female
- Peer Specialist
About KADEDRA JAMISON
This page provides the complete NPI Profile along with additional information for Kadedra Jamison, a provider established in Fresno, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1902473887 assigned on June 2021. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1902473887 Verify this NPI
- Provider Name
- MRS. KADEDRA KATRINA JAMISON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1040 N PLEASANT AVE FRESNO, CA 93728
- Location Phone
- (559) 899-0888
- Mailing Address
- 1040 N PLEASANT AVE FRESNO, CA 93728
- Mailing Phone
- (559) 899-0888
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-08-2021
- Last Update Date
- 06-08-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902473887, enumerated as an "individual" on June 08, 2021.
The provider is located at 1040 N PLEASANT AVE FRESNO, CA 93728 and the phone number is (559) 899-0888.
Peer Specialist with taxonomy code 175T00000X.
