Individual
ANDREA JEANETTE JOURNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
10296A STATE ROUTE 125, WEST PORTSMOUTH, OH 45663-8910
(740) 935-1109
Mailing address
10296A STATE ROUTE 125, WEST PORTSMOUTH, OH 45663-8910
(740) 935-1109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
365610
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.365610
DOL
OH
Enumeration date
06/24/2020
Last updated
06/24/2020
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