Individual
JETQUATTA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
786 COATES ST, COATESVILLE, PA 19320
(484) 378-1816
Mailing address
786 COATES ST, COATESVILLE, PA 19320-3370
(484) 378-1816
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN297188
PA
171M00000X
Case Manager/Care Coordinator
—
PA
253Z00000X
In Home Supportive Care Agency
Primary
36973601
PA
372500000X
Chore Provider
—
PA
372600000X
Adult Companion
—
PA
3747A0650X
Attendant Care Provider
—
PA
3747P1801X
Personal Care Attendant
—
PA
374T00000X
Religious Nonmedical Nursing Personnel
—
PA
374U00000X
Home Health Aide
—
PA
376J00000X
Homemaker
—
PA
376K00000X
Nurse's Aide
—
PA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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