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NPI Code Detail

MEDICARE: MS. LUCIA MARIE JENKUSKY CNM

MEDICARE: MS. LUCIA MARIE JENKUSKY CNM
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
1367A00000XAdvanced Practice MidwifeNM-10117OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841392529
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LUCIA MARIE JENKUSKY CNM
Provider Business Mailing Address
First Line : 1500 E 17TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1002
Country : US
Telephone Number : 614-645-2700
Fax Number :
Provider Business Practice Location Address
First Line : 1500 E 17TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1002
Country : US
Telephone Number : 614-645-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2006
Last Update Date : 07/18/2017

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