Individual
JESSICA LYNN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
552 W 45TH ST, SHADYSIDE, OH 43947-1039
(740) 359-4137
Mailing address
552 W 45TH ST, SHADYSIDE, OH 43947-1039
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
385465
OH
163WH0200X
Home Health Registered Nurse
385465
OH
163WH1000X
Hospice Registered Nurse
385465
OH
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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