Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrik Jesuton

Individual provider Adult Companion · NPI 1629877576

Derrik Jesuton is an Adult Companion in Elkhorn, Nebraska. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4621 N 190th Ave
Elkhorn, NE 68022-4668
Phone: (917) 942-0851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X

Record details

NPI number1629877576
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 12, 2025
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address9744 Mockingbird Dr, Omaha, NE 68127-2013

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