JACOB EDMOND PR NPI 1265177703

NPI Information

NPI: 1265177703
Provider Name: JACOB EDMOND, PR
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
137 8TH AVE W
HUNTINGTON, WV
ZIP 25701
Phone: (681) 888-5291
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Jacob Edmond, PR is a peer specialist in Huntington, WV. 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. Jacob Edmond, PR NPI is 1265177703. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

137 8TH AVE W
HUNTINGTON, WV
ZIP 25701-510
Phone: (681) 888-5291

The enumeration date for this NPI number is 4/29/2022 and was last updated on 12/9/2022.

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	175T00000X	Peer Specialist			WEST VIRGINIA	No
2	175T00000X	Peer Specialist		22-929	WEST VIRGINIA	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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