Jasamin Henrikson

Individual provider Active NPI Personal Care Attendant · Cando, ND

NPI 1104421569 · NPPES record last updated Dec 3, 2020

Key facts

NPI
1104421569
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
922 6TH Ave
Cando, ND 58324-6122
Phone
(701) 351-7248
NPI assigned
Dec 3, 2020
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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

922 6TH Ave
Cando, ND 58324-6122

Mailing address

922 6TH Ave
Cando, ND 58324-6122
Phone (701) 351-7248

Other providers in Cando, ND

All providers in Cando, ND · Personal Care Attendant in North Dakota

Sources for this page

Verify at the official NPI Registry.