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Jeparis Johnson
Attendant Care Provider in Indianapolis, Indiana
NPI 1992219521

Jeparis Johnson is an Attendant Care Provider based in Indianapolis, IN and is specialized in Attendant Care Provider. Jeparis Johnson practices in Indianapolis, IN. The NPI Number for Jeparis Johnson is 1992219521 and holds a License No. 17-014066-1 (Indiana).

The current practice location address for Jeparis Johnson is 10411 N College Ave, Indianapolis, IN and can be reached out via phone at 317-688-7748.

Location: 10411 N College Ave, Indianapolis, IN, 46280-1436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992219521
Provider Name
Jeparis Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
10411 N College Ave, Indianapolis, IN, 46280-1436
Phone Number
317-688-7748
Fax Number
Provider Enumeration Date
11/17/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300008106 05 IN
institution
Provider Business Practice Location Address Details
Address
10411 N College Ave
City
Indianapolis
State
Indiana
Zip
46280-1436
Phone Number
317-688-7748
Fax Number
person
Provider Business Mailing Address Details
Address
10411 N College Ave
City
Indianapolis
State
Indiana
Zip
46280-1436
Phone Number
317-688-7748
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
17-014066-1 (Indiana)
Definition
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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