Provider Demographics
NPI:1073205506
Name:HEMSLEY, JERICA (MA)
Entity Type:Individual
Prefix:
First Name:JERICA
Middle Name:
Last Name:HEMSLEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 CLAUDE PL
Mailing Address - Street 2:
Mailing Address - City:ARCO
Mailing Address - State:ID
Mailing Address - Zip Code:83213-8746
Mailing Address - Country:US
Mailing Address - Phone:208-240-2407
Mailing Address - Fax:
Practice Address - Street 1:551 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:ARCO
Practice Address - State:ID
Practice Address - Zip Code:83213-5003
Practice Address - Country:US
Practice Address - Phone:208-252-7655
Practice Address - Fax:208-527-3990
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach