NPI 1861940207 · live from the CMS NPI Registry
Jessalynn Bradley
Home Health Aide in Urbandale, IA. National Provider Identifier 1861940207, active.
NPI record
| NPI | 1861940207 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Home Health Aide 374U00000X |
| Practice location | 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 |
| Practice phone | 641-895-8336 |
| Enumerated | September 14, 2016 |
| Last updated | September 14, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide primary | 374U00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.