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Jessica Rebecca Dasher

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9900 Bren Rd E, Minnetonka, MN 55343-9664

PECOS Enrollment

This provider is enrolled in PECOS as JESSICA DASHER.

Based on the most recent information from CMS, provider Jessica Rebecca Dasher is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:37 AM.

Profile Details

Provider ID
1689947491
Provider Type
Individual
Full Name
Dasher, Jessica Rebecca
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
2/10/2012
Last Updated
11/6/2020

Contact Information

Practice Location

9900 Bren Rd E, Minnetonka, MN 55343-9664

(912) 423-0396

Unlisted Fax

Mailing Location

9900 Bren Rd E, Minnetonka, MN 55343-9664

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN138716 Georgia

Jessica Rebecca Dasher

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Forloines-Lynn, Wanda Sue

Flaherty, Skye

Creel, Kimberly D

Smith, Sarah K.L.

Huber, Theresa

Withers, Scott Edward

Miller, Francine Gayle

Tometczak, Sherri L

Pennicooke, Denise

Tedford, Abby Gail