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NPI Code Detail

MEDICARE: JACQUILINE AYUK AYUKNCHIOBO

MEDICARE:   JACQUILINE AYUK AYUKNCHIOBO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WH0200XHome Health Registered Nurse441554OH

General Provider Information

NPI Number : 1245880616
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUILINE AYUK AYUKNCHIOBO
Provider Business Mailing Address
First Line : 2236 S HAMILTON RD STE 201E
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-4381
Country : US
Telephone Number : 614-377-7677
Fax Number :
Provider Business Practice Location Address
First Line : 2236 S HAMILTON RD STE 201E
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-4381
Country : US
Telephone Number : 614-377-7677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2019
Last Update Date : 12/30/2019

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Directions to “ JACQUILINE AYUK AYUKNCHIOBO ” Practice Location

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