Individual provider · Type 1 NPI
Jerome Tyrrell Jerome Iv, EMT
Basic Emergency Medical Technician · Omak, WA
NPI number
1649117474
Active
Practice location
913 Koala Dr
Omak, WA 98841-9576
Mailing address
12310 Village View Dr
Leavenworth, WA 98826-9169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Basic Emergency Medical Technician Primary | 146N00000X | EMS.ES.70111053 (WA) |
Basic Emergency Medical Technician: A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
About NPI 1649117474
Jerome Tyrrell Jerome Iv, EMT's National Provider Identifier is 1649117474, issued on Apr 30, 2026. The primary taxonomy on file is Basic Emergency Medical Technician (146N00000X), and the practice location is in Omak, WA. The record was last updated on Apr 30, 2026.