MEDICARE: JETTWELL HEALTHCARE LLC

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1821924226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JETTWELL HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	9300 JOHN HICKMAN PKWY STE 302
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-5961
Country	:	US
Telephone Number	:	972-339-2701
Fax Number	:

Provider Business Practice Location Address
First Line	:	9300 JOHN HICKMAN PKWY STE 302
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-5961
Country	:	US
Telephone Number	:	972-339-2701
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JOSEPHINE OSIFO
Credential	:	RN
Telephone Number	:	972-339-2701

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	06/23/2026

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Directions to “JETTWELL HEALTHCARE LLC ” Practice Location

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