Provider Demographics
NPI:1578960514
Name:RASMUSSEN, JESSICA M
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:M
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:M
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1325 AIRMOTIVE WAY STE 240
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3284
Mailing Address - Country:US
Mailing Address - Phone:775-737-9001
Mailing Address - Fax:
Practice Address - Street 1:1325 AIRMOTIVE WAY STE 240
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3284
Practice Address - Country:US
Practice Address - Phone:775-737-9001
Practice Address - Fax:775-870-1628
Is Sole Proprietor?:No
Enumeration Date:2014-11-19
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVIC-23071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical