Jody Lynn Faulk
Individual provider Active NPI Personal Care Attendant · Scottsbluff, NE
NPI 1962216028 · NPPES record last updated Feb 6, 2025
Key facts
- NPI
- 1962216028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1618 19TH Ave
Scottsbluff, NE 69361-2738 - Phone
- (308) 632-8016
- NPI assigned
- Feb 6, 2025
- 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
1618 19TH Ave
Scottsbluff, NE 69361-2738
Mailing address
1618 19TH Ave
Scottsbluff, NE 69361-2738
Phone (308) 632-8016
Other providers in Scottsbluff, NE
- Kelsey Joy Ewing
- Oluwakemi Fagbami
- Kurt Fahrenbrook
- Family4Ward, Inc.
- Kalista Rayne Farris
- Jennifer Lynn Fedoroff
- Courtney Vergetta Ferguson-Macias
- Kaylia Ferguson
- Kristin Ferguson
- Fernando Hernandez
All providers in Scottsbluff, NE · Personal Care Attendant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2025. 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.