Jill A Myers
Individual provider Active NPI Personal Care Attendant · Phillips, NE
NPI 1073324711 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1073324711
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 112 Sandbar LN
Phillips, NE 68865-1702 - Phone
- (308) 390-0255
- NPI assigned
- Jan 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | NE | Yes |
Addresses
Primary practice location
112 Sandbar LN
Phillips, NE 68865-1702
Mailing address
106 S Gunbarrel Rd
Grand Island, NE 68801-8506
Phone (308) 390-0255
Other providers in Phillips, NE
All providers in Phillips, NE · Personal Care Attendant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.