MISS JENNA TAYLOR MOOTCHNIK NPI 1912576968

NPI Information

NPI: 1912576968
Provider Name: MISS JENNA TAYLOR MOOTCHNIK
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
3491 KURTZ ST
SAN DIEGO, CA
ZIP 92110
Phone: (619) 320-2404
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MISS Jenna Taylor Mootchnik is a peer specialist in San Diego, 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. MISS Jenna Taylor Mootchnik NPI is 1912576968. 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:

3491 KURTZ ST
SAN DIEGO, CA
ZIP 92110-430
Phone: (619) 320-2404

The enumeration date for this NPI number is 6/23/2021 and was last updated on 1/27/2022.

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				Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

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: 11/14/2023

NPI Synchronization or Removal

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