Jennifer Jean Thomas
Individual provider Active NPI Personal Care Attendant · Mandan, ND
NPI 1093382913 · NPPES record last updated Jun 9, 2021
Key facts
- NPI
- 1093382913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 104 6TH St NW
Mandan, ND 58554-2841 - Phone
- (701) 946-8412
- NPI assigned
- Jun 9, 2021
- 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 | Yes |
Addresses
Primary practice location
104 6TH St NW
Mandan, ND 58554-2841
Mailing address
104 6TH St NW
Mandan, ND 58554-2841
Phone (701) 946-8412
Other providers in Mandan, ND
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
- The Nutrition Practice PLLC
- Nancy Theurer
- Tanya Michelle Thomas
- Hannah Thompson
- Jordyn Thompson
- Pamela Elaine Thompson
- Shawntale L Thompson
All providers in Mandan, ND · Personal Care Attendant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2021. 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.