KNIESHA KATHERINE SCRUGGS
NPI 1396020608
Technician - Attendant Care Provider in Jacksonville, FL

Active since October 18, 2011
1461 STEELE ST, JACKSONVILLE, FL 32209(904) 415-9228 Get Directions Write a Review

NPPES record last updated: October 18, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kniesha Katherine Scruggs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KNIESHA KATHERINE SCRUGGS (NPI 1396020608) is an individual attendant care provider provider in Jacksonville, Florida, licensed in Florida (37) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1396020608
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameKNIESHA KATHERINE SCRUGGS
Location Address1461 STEELE STJacksonville, FL 32209-6263
Mailing Address6982 Clearwater Park Ct SJacksonville, FL 32244-7809 · (904) 415-9228
Sole ProprietorYes
Enumeration DateOctober 18, 2011
NPI 1396020608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
License Licensed in FL · 37
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.

1461 STEELE ST, Jacksonville, FL 32209

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396020608, enumerated as an "individual" on October 18, 2011.

The provider is located at 1461 STEELE ST JACKSONVILLE, FL 32209 and the phone number is (904) 415-9228.

Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.