JESSICA KURZDORFER PMHNP NPI 1538782826

NPI Information

NPI: 1538782826
Provider Name: JESSICA KURZDORFER, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
870 82ND DR BLDG C
GLADSTONE, OR
ZIP 97027
Phone: (503) 659-5515
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Jessica Kurzdorfer, PMHNP is a psychiatric/mental health nurse practitioner in Gladstone, OR with 4 years of experience. Jessica Kurzdorfer, PMHNP NPI is 1538782826. 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:

870 82ND DR BLDG C
GLADSTONE, OR
ZIP 97027-803
Phone: (503) 659-5515

The NPI 1538782826 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/21/2020 and was last updated on 7/31/2023.

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	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	402976	NEW YORK	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	402976	NEW YORK	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	10012124	OREGON	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: 4/28/2024

NPI Synchronization or Removal

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