JENNIFER BANDY PSS NPI 1780298190

NPI Information

NPI: 1780298190
Provider Name: JENNIFER BANDY, PSS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
4108 LB PROPST DR
CONOVER, NC
ZIP 28613
Phone: (828) 302-3431
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Jennifer Bandy, PSS is a peer specialist in Conover, NC. 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. Jennifer Bandy, PSS NPI is 1780298190. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4108 LB PROPST DR
CONOVER, NC
ZIP 28613-830
Phone: (828) 302-3431

The enumeration date for this NPI number is 9/2/2020 and was last updated on 9/15/2020.

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			NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00584530	MEDICAID	NORTH CAROLINA

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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