Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jasmyne Russell-Dicker, CPPS

Individual provider Peer Specialist · NPI 1093641912

Jasmyne Russell-Dicker, CPPS is a Peer Specialist in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

214 Fairway Dr
Fayetteville, NC 28305-5502
Phone: (910) 729-9867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 2024-1165201 (NC)

Record details

NPI number1093641912
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPPS
Sole proprietorYes
NPI enumeratedJune 18, 2026
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

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