IndividualActive
Jessica Black
NPI 1417580234 · Attendant Care Provider · Harlan, KY
Provider details
- NPI number
- 1417580234
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
640 May St
Harlan, KY 40831-1628
Phone: (606) 273-8096
Approximate (ZIP-level) locationGet directions
Mailing address
640 May St
Harlan, KY 40831-1628
Registry dates
- Enumerated
- 2020-02-20
- Last updated
- 2020-02-20
- Certified
- 2020-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.