Provider Demographics
NPI:1871280073
Name:MCAFEE, JAILYNN
Entity type:Individual
Prefix:
First Name:JAILYNN
Middle Name:
Last Name:MCAFEE
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 1:501 RIVERGATE WAY APT 153
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-3322
Mailing Address - Country:US
Mailing Address - Phone:916-519-0683
Mailing Address - Fax:
Practice Address - Street 1:501 RIVERGATE WAY APT 153
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-3322
Practice Address - Country:US
Practice Address - Phone:916-519-0683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175T00000XOther Service ProvidersPeer Specialist
No172V00000XOther Service ProvidersCommunity Health Worker