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NPI Code Detail

MEDICARE: JESHAYLA BROWN

MEDICARE:   JESHAYLA  BROWN
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
1372600000XAdult Companion
2372500000XChore Provider
33747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1942008024
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESHAYLA BROWN
Provider Business Mailing Address
First Line : 1301 W PARK AVE
Second Line :
City : NORFOLK
State : NE
Zip : 68701-4825
Country : US
Telephone Number : 402-860-4648
Fax Number :
Provider Business Practice Location Address
First Line : 1301 W PARK AVE
Second Line :
City : NORFOLK
State : NE
Zip : 68701-4825
Country : US
Telephone Number : 402-860-4648
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2025
Last Update Date : 03/05/2025

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Directions to “ JESHAYLA BROWN ” Practice Location

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