Individual provider · Type 1 NPI

Jessica Nicole Gentry, CRM

Peer Specialist · Newport, OR

NPI number 1558074427 Active

Practice location

608 SW Hurbert St Apt 2
Newport, OR 97365-4938

Mailing address

200 Gwee Shut Rd
Siletz, OR 97380-2036

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1558074427

Jessica Nicole Gentry, CRM's National Provider Identifier is 1558074427, issued on Jan 5, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Newport, OR. The record was last updated on Jan 5, 2023.