Provider Demographics
NPI:1164200879
Name:JJJNEMT LLC
Entity Type:Organization
Organization Name:JJJNEMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACKY
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-JULIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-666-5853
Mailing Address - Street 1:1741 CROSS CREEK LN
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-1217
Mailing Address - Country:US
Mailing Address - Phone:817-666-5853
Mailing Address - Fax:
Practice Address - Street 1:1741 CROSS CREEK LN
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-1217
Practice Address - Country:US
Practice Address - Phone:817-666-5853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2278P4000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPatient TransportGroup - Single Specialty