Individual provider · NPI-1

Jesse Decoteau-Griffith

Home Health Aide · Fargo, ND

NPI number1922907708
StatusActive
Last updated in NPPESNov 5, 2026

Details

NPI
1922907708
Entity type
Individual (NPI-1)
Name
Jesse Decoteau-Griffith
Sex
Male
Sole proprietor
No
Enumeration date
Nov 5, 2026
Certification date
Nov 5, 2026
Last updated
Nov 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

2814 18th St S Apt 6
Fargo, ND 58103-6758

Phone 701-701-9361

Mailing address

2814 18th St S Apt 6
Fargo, ND 58103-6758

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