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Individual

MRS. JODIE LYNN BEARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(000) 000-0000
Mailing address
3200 BURNET AVE, CINCINNATI, OH 45229-3019

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP.CNP.0031627
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP.CNP.0031627
OH
374U00000X
Home Health Aide
2678455
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2678455
OH
Enumeration date
03/07/2007
Last updated
01/29/2024
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