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

Individual provider Peer Specialist · NPI 1104673193

Jessica Ann Whitaker is a Peer Specialist in Bismarck, North Dakota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2306 E Broadway Ave
Bismarck, ND 58501-4932
Phone: (701) 425-6618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1104673193
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

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