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

Jessee Dylan Walburn

Individual provider Peer Specialist · NPI 1124848130

Jessee Dylan Walburn is a Peer Specialist in Stark City, Missouri. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

415 S St
Stark City, MO 64866-9627
Phone: (417) 602-9219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1124848130
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 14, 2024
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing address415 South St, Stark City, MO 64866-9627

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