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

Miss. Jenna Taylor Mootchnik

Individual provider Peer Specialist · NPI 1912576968

Miss. Jenna Taylor Mootchnik is a Peer Specialist in San Diego, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3491 Kurtz St
San Diego, CA 92110-4430
Phone: (619) 320-2404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912576968
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 23, 2021
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022

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