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NPI Code Detail

MEDICARE: JAYNIE DOWDY RN

MEDICARE:   JAYNIE  DOWDY  RN
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
1163W00000XRegistered NurseRN.412378-OH
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1639538838
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYNIE DOWDY RN
Provider Business Mailing Address
First Line : 30 ELIZABETH LN
Second Line :
City : SOUTH SHORE
State : KY
Zip : 41175-7919
Country : US
Telephone Number : 740-357-7843
Fax Number :
Provider Business Practice Location Address
First Line : 6300 N MAIN ST
Second Line :
City : DAYTON
State : OH
Zip : 45415-3154
Country : US
Telephone Number : 740-776-2785
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2016
Last Update Date : 01/02/2018

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