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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSEE DYLAN WALBURN

Active Sole Proprietor

JESSEE DYLAN WALBURN is a Peer Specialist healthcare provider located in STARK CITY, Missouri. NPI 1124848130 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · STARK CITY, MO

Registration Details

NPI Number
1124848130
Provider Type
Individual
Gender
Male
NPI Issued
Oct 14, 2024 (1.8605124304102 yrs)
Last Updated
Oct 14, 2024
Sole Proprietor
Yes

Practice Information

Address
415 SOUTH ST
STARK CITY, MO, 648669627
Browse MO providers · Browse ZIP 64866
Phone
4176029219
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in STARK CITY, MO

Name Credential NPI
STEVEN WELLS 1457132490
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.