Jerilyn Leslie Smith
Technician, Personal Care Attendant in Shelton, NE. Individual provider (NPI-1).
NPI number1619782182
StatusActive
Last updated in NPPESFeb 11, 2025
Details
- NPI
- 1619782182
- Entity type
- Individual (NPI-1)
- Name
- Jerilyn Leslie Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2025
- Certification date
- Feb 11, 2025
- Last updated
- Feb 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
219 B StShelton, NE 68876-9676
Phone 308-647-6645
Mailing address
219 B StShelton, NE 68876-9676
Phone 308-647-6645
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