Provider Demographics
NPI:1841178217
Name:JEWETT, TRINITY LEIGH
Entity type:Individual
Prefix:
First Name:TRINITY
Middle Name:LEIGH
Last Name:JEWETT
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 1:932 PLATTE AVE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:NE
Mailing Address - Zip Code:69301-2848
Mailing Address - Country:US
Mailing Address - Phone:562-455-5435
Mailing Address - Fax:
Practice Address - Street 1:411 W 9TH ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:NE
Practice Address - Zip Code:69301-2911
Practice Address - Country:US
Practice Address - Phone:559-901-9830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant