Provider Demographics
NPI:1104639798
Name:KAY, JESSICA ROCHELLE (CD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ROCHELLE
Last Name:KAY
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17814 42ND AVE SE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-7864
Mailing Address - Country:US
Mailing Address - Phone:425-306-1919
Mailing Address - Fax:
Practice Address - Street 1:17814 42ND AVE SE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-7864
Practice Address - Country:US
Practice Address - Phone:425-306-1919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula