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NPI Code Detail

MEDICARE: JAYDA PAINTER

MEDICARE: JAYDA PAINTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1245180660
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYDA PAINTER
Provider Business Mailing Address
First Line : 11418 ELM ST APT 43
Second Line :
City : OMAHA
State : NE
Zip : 68144-4422
Country : US
Telephone Number : 531-250-1958
Fax Number :
Provider Business Practice Location Address
First Line : 11418 ELM ST APT 43
Second Line :
City : OMAHA
State : NE
Zip : 68144-4422
Country : US
Telephone Number : 531-250-1958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ JAYDA PAINTER ” Practice Location

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