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NPI Code Detail

MEDICARE: JACQUELINE RENEE DUHON LPN

MEDICARE:   JACQUELINE RENEE DUHON  LPN
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
1164W00000XLicensed Practical Nurse110118OH

General Provider Information

NPI Number : 1790414233
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE RENEE DUHON LPN
Provider Business Mailing Address
First Line : 6314 EAGLES LAKE DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-6859
Country : US
Telephone Number : 513-709-7982
Fax Number :
Provider Business Practice Location Address
First Line : 6314 EAGLES LAKE DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-6859
Country : US
Telephone Number : 513-709-7982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2022
Last Update Date : 06/09/2022

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Directions to “ JACQUELINE RENEE DUHON LPN” Practice Location

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