Individual
DARREL W JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CG 61020545
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61020545
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-7258439
NA
WA
Enumeration date
03/04/2020
Last updated
03/04/2020
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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