Provider Demographics
NPI:1588343339
Name:ZYLINSKI, JESSICA YVONNE
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:YVONNE
Last Name:ZYLINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:YVONNE
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:514 DELAFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4205
Mailing Address - Country:US
Mailing Address - Phone:206-639-7073
Mailing Address - Fax:
Practice Address - Street 1:333 W CANAL DR
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-3845
Practice Address - Country:US
Practice Address - Phone:509-581-0303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician