Provider Demographics
NPI:1427864172
Name:JAIMET, BRIANNA NICOLE
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:NICOLE
Last Name:JAIMET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6551 ZION CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:IL
Mailing Address - Zip Code:62286-3871
Mailing Address - Country:US
Mailing Address - Phone:618-443-7305
Mailing Address - Fax:
Practice Address - Street 1:603 E GOALBY ST
Practice Address - Street 2:
Practice Address - City:PERCY
Practice Address - State:IL
Practice Address - Zip Code:62272-1551
Practice Address - Country:US
Practice Address - Phone:618-443-7305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-07
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No172A00000XOther Service ProvidersDriver
No372500000XNursing Service Related ProvidersChore Provider
No376J00000XNursing Service Related ProvidersHomemaker