Individual provider · NPI-1

Jaiesha Releford, CNA

Nurse's Aide · Kansas City, MO

NPI number1154979532
StatusActive
Last updated in NPPESAug 29, 2019

Details

NPI
1154979532
Entity type
Individual (NPI-1)
Name
Jaiesha Releford
Credential
CNA
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 29, 2019
Last updated
Aug 29, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide82660AMOYes
251E00000X Home Health––
343900000X Non-emergency Medical Transport (VAN)––
374U00000X Home Health Aide––

Other names

  • Jaiesha Scott (Former Name)

Practice location

2403 E 49th St
Kansas City, MO 64130

Phone 816-377-4591

Mailing address

2403 E 49th St
Kansas City, MO 64130

Phone 816-377-4591

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