MS. JESSICA BICKHAM NPI 1174293930

NPI Information

NPI: 1174293930
Provider Name: MS. JESSICA BICKHAM
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
14344 CAJON AVE STE 101-103
VICTORVILLE, CA
ZIP 92392
Phone: (760) 243-3999
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MS. Jessica Bickham is a peer specialist in Victorville, CA. The provider is 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. MS. Jessica Bickham NPI is 1174293930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14344 CAJON AVE STE 101-103
VICTORVILLE, CA
ZIP 92392-300
Phone: (760) 243-3999

The enumeration date for this NPI number is 9/14/2021 and was last updated on 9/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	175T00000X	Peer Specialist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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