Individual
JANE HENNIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3179 KENNEDY FORD RD, BETHEL, OH 45106-8336
(513) 734-1425
Mailing address
3179 KENNEDY FORD RD, BETHEL, OH 45106-8336
(513) 734-1425
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.18446
OH
163WG0600X
Gerontology Registered Nurse
RN.18446
OH
163WH0200X
Home Health Registered Nurse
RN.184466
OH
163WP0200X
Pediatric Registered Nurse
RN.184466
OH
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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