Individual provider · Type 1 NPI

Loretta Jelks

Attendant Care Provider · Jackson, MS

NPI number 1013567213 Active

Practice location

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Call (601) 362-4471 Map

Mailing address

117 Trace Wood Cv
Clinton, MS 39056-3914

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1013567213

Loretta Jelks's National Provider Identifier is 1013567213, issued on Sep 19, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Jackson, MS. The record was last updated on Sep 19, 2019.