NPI 1548084379 · live from the CMS NPI Registry
Jessica L Bosch, RN
Registered Nurse, Psych/Mental Health, Adult in Fargo, ND. National Provider Identifier 1548084379, active.
NPI record
| NPI | 1548084379 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 2101 Elm St N, Fargo, ND 58102 |
| Practice phone | 701-239-3700 |
| Mailing address | 2700 State St Ste F, Bismarck, ND 58503 |
| Enumerated | November 8, 2024 |
| Last updated | November 8, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | R32422 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.