Jayd Culey

Individual provider Active NPI Pediatric Registered Nurse · Mandan, ND

NPI 1245924927 · NPPES record last updated Aug 14, 2024

Key facts

NPI
1245924927
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Registered Nurse 163WP0200X
License
P16052 (ND)
Practice address
1200 Collins Ave
Mandan, ND 58554-2066
Phone
(701) 663-5373
NPI assigned
Jun 6, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P16052NDMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Home Care, Inc. Past
since Jun 11, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X P16052 ND Yes

Addresses

Primary practice location

1200 Collins Ave
Mandan, ND 58554-2066

Mailing address

1200 Collins Ave
Mandan, ND 58554-2066
Phone (701) 663-5373

Other providers in Mandan, ND

All providers in Mandan, ND · Pediatric Registered Nurse in North Dakota

Sources for this page

Verify at the official NPI Registry.