=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679473482
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JESSIE SEIFER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/06/2026
-----------------------------------------------------
Last Update Date | 11/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1007 N JEFFERS ST
-----------------------------------------------------
City | NORTH PLATTE
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 69101-3028
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-532-3960
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 150 W COUNTY RD
-----------------------------------------------------
City | SUTHERLAND
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 69165-2113
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-386-6391
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 372500000X
-----------------------------------------------------
Taxonomy Name | Chore Provider
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------