Jailyn Simone Smith | New Orleans, LA • PECOS Search

Jailyn Simone Smith

Case Manager/Care Coordinator

Other Service Providers

1995 Gentilly Blvd Ste C-400, New Orleans, LA 70119-1700

(504) 944-0453 (504) 452-9832

PECOS Enrollment

Based on the most recent information from CMS, provider Jailyn Simone Smith does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1053974881
Provider Type
Individual
Full Name
Smith, Jailyn Simone
Gender
Female

Sole Proprietor
Yes
Enumeration Date
4/17/2019
Last Updated
4/17/2019

Contact Information

Practice Location

1995 Gentilly Blvd Ste C-400, New Orleans, LA 70119-1700

Unlisted Fax

Mailing Location

1740 Baronne St Apt 151, New Orleans, LA 70113-1353

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer