Individual provider · Type 1 NPI
Jerrica Blackburn
Personal Care Attendant · Omaha, NE
Practice location
6003 Ville Desante Dr
Omaha, NE 68104
Mailing address
7200 S 84th St
La Vista, NE 68128-2115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Personal Care Attendant Primary | 3747P1801X | None listed |
| Chore Provider | 372500000X | None listed |
Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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About NPI 1598653172
Jerrica Blackburn's National Provider Identifier is 1598653172, issued on Jun 24, 2025. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Omaha, NE. The record was last updated on Jun 24, 2025.