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

Jessica Rose Blazivic

Individual provider Community Health Worker · NPI 1376059964

Jessica Rose Blazivic is a Community Health Worker in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017

Practice location Address checks out

3919 N Maple St
Spokane, WA 99205-1349
Phone: (509) 444-8200
Fax: (509) 444-7806
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence CM60369054 (WA)

Record details

NPI number1376059964
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 19, 2017
Last updated in NPPESDecember 19, 2017

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