Individual
MS. DIONNE LYNETTA JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2931 LOUELLA AVE, DAYTON, OH 45417-4215
(937) 263-0583
Mailing address
5520 NORTHFORD RD, DAYTON, OH 45426-1108
(937) 529-4501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
429490
OH
164W00000X
Licensed Practical Nurse
136492
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3101119
—
OH
05
—
429490
—
OH
Enumeration date
07/01/2010
Last updated
06/06/2019
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