Jawn Davidson

Individual provider Active NPI Personal Care Attendant · Waverly, NE

NPI 1285317495 · NPPES record last updated Aug 14, 2023

Key facts

NPI
1285317495
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
14621 Heywood St
Waverly, NE 68462-1332
Phone
(402) 786-5340
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
No

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

14621 Heywood St
Waverly, NE 68462-1332

Mailing address

14621 Heywood St
Waverly, NE 68462-1332
Phone (402) 786-5340

Other providers in Waverly, NE

All providers in Waverly, NE · Personal Care Attendant in Nebraska

Sources for this page

Verify at the official NPI Registry.