Individual
JENIECE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2443 NOTTINGHAM RD, CINCINNATI, OH 45225-1009
(513) 641-7214
Mailing address
2443 NOTTINGHAM RD, CINCINNATI, OH 45225-1009
(513) 641-7214
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602482710422
OH
376K00000X
Nurse's Aide
602482710422
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
OH
Enumeration date
11/01/2022
Last updated
11/01/2022
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