Individual provider · Type 1 NPI

Joetta Itivis Herndon

Home Health Aide · Washington, DC

NPI number 1114575347 Active

Practice location

3348 Blaine St NE
Washington, DC 20019-1327

Call (202) 399-2966 Map

Mailing address

2704 Wade Rd SE Apt 301
Washington, DC 20020-5951

Specialties and licenses

TaxonomyCodeLicense
Home Health Aide Primary 374U00000XNone listed

Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

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About NPI 1114575347

Joetta Itivis Herndon's National Provider Identifier is 1114575347, issued on Aug 30, 2019. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Washington, DC. The record was last updated on Aug 30, 2019.