Provider Demographics
NPI:1518859651
Name:ZERMENO MALDONADO, JESSICA ELIZETH
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ELIZETH
Last Name:ZERMENO MALDONADO
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 1:1901 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH SIOUX CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68776-2617
Mailing Address - Country:US
Mailing Address - Phone:712-577-4479
Mailing Address - Fax:
Practice Address - Street 1:308 E 21ST ST
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-2830
Practice Address - Country:US
Practice Address - Phone:712-899-0204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372500000XNursing Service Related ProvidersChore Provider
No374U00000XNursing Service Related ProvidersHome Health Aide