Jeanette Bearden
Technician, Attendant Care Provider in Milwaukee, WI. Individual provider (NPI-1).
NPI number1306495064
StatusActive
Last updated in NPPESSep 5, 2019
Details
- NPI
- 1306495064
- Entity type
- Individual (NPI-1)
- Name
- Jeanette Bearden
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2019
- Last updated
- Sep 5, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
4477 N 57 St.Milwaukee, WI 53218
Phone 414-467-2655
Mailing address
4477 N 57 St.Milwaukee, WI 53218
Phone 414-467-2655
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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