Individual provider · Type 1 NPI

Brandon Jamar Pettis

Home Health Aide · Omaha, NE

NPI number 1922963560 Active

About NPI 1922963560

Brandon Jamar Pettis's National Provider Identifier is 1922963560, issued on Dec 17, 2025. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Omaha, NE. The record was last updated on Dec 17, 2025.