Individual provider · NPI-1

Jameshia Brunson

In Home Supportive Care · Memphis, TN

NPI number1649099888
StatusActive
Last updated in NPPESJan 29, 2025

Details

NPI
1649099888
Entity type
Individual (NPI-1)
Name
Jameshia Brunson
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 4, 2024
Certification date
Jan 29, 2025
Last updated
Jan 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
261QA0600X Clinic/Center, Adult Day Care–TN
310400000X Assisted Living Facility–TN
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances–TN
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities–TN

Practice location

1840 Pyramid Pl # 217
Memphis, TN 38132-1703

Phone 901-432-5620

Mailing address

1840 Pyramid Pl # 217
Memphis, TN 38132-1703

Phone 901-432-5620

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