Jessica Paige Mullins, HOME HEALTH AIDE

Individual provider Active NPI Home Health Aide · South Shore, KY

NPI 1497265656 · NPPES record last updated Oct 2, 2017

Key facts

NPI
1497265656
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
37 State Route 784
South Shore, KY 41175-9785
Phone
(606) 932-2060
NPI assigned
Oct 2, 2017
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
Home Health Aide 374U00000X OH Yes

Addresses

Primary practice location

37 State Route 784
South Shore, KY 41175-9785

Mailing address

37 State Route 784
South Shore, KY 41175-9785
Phone (606) 932-2060

Other providers in South Shore, KY

All providers in South Shore, KY · Home Health Aide in Kentucky

Sources for this page

Verify at the official NPI Registry.