Destiny Paige Jude
Individual provider Active NPI Personal Care Attendant · Inez, KY
NPI 1356182091 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1356182091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 5347 Hwy 645
Inez, KY 41224 - Phone
- (304) 733-1094
- NPI assigned
- Jun 5, 2024
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
5347 Hwy 645
Inez, KY 41224
Mailing address
5347 Why 645
Inez, KY 41224
Other providers in Inez, KY
- Inez Elementary School Clinic
- Inez Middle School Clinic
- Inez Physical Therapy Inc
- Ivys Medical Supplies Inc
- Patricia Elizabeth Johnson
- Lon E Lafferty
- Natasha N Leach
- Lon Lafferty MD PSC
- Natalie Lowe
- Belinda Nicole Mann
All providers in Inez, KY · Personal Care Attendant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2024. 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.