Individual ProviderJessica Rebecca DasherNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(912) 423-0396PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Rebecca Dasher does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1689947491Provider TypeIndividualFull NameDasher, Jessica RebeccaCredentialNPGenderFemaleSole ProprietorNoEnumeration Date2/10/2012Last Updated11/6/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(912) 423-0396FaxUnlisted FaxMailing LocationMailing Address9900 Bren Rd E, Minnetonka, MN 55343-9664PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN138716Georgia