Individual
JACI BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2414 CHRISTEL AVE, MIDDLETOWN, OH 45044-4620
(513) 292-1626
Mailing address
2414 CHRISTEL AVE, MIDDLETOWN, OH 45044-4620
(513) 292-1626
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN282891
OH
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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