Individual
JESSICA RAE FEHRENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PARAMEDIC
Contact information
Practice address
45 BELLEVIEW ST, MOUNT CLEMENS, MI 48043-2238
(586) 676-8427
(586) 314-0707
Mailing address
45 BELLEVIEW ST, MOUNT CLEMENS, MI 48043-2238
(586) 676-8427
(586) 314-0707
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
146L00000X
Paramedic
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
07/29/2021
Last updated
09/21/2021
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