Healthcare Provider Details

I. General information

NPI: 1063356749
Provider Name (Legal Business Name): JOURDEN COBB
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 READING RD STE 300
CINCINNATI OH
45202-1460
US

IV. Provider business mailing address

430 READING RD STE 300
CINCINNATI OH
45202-1460
US

V. Phone/Fax

Practice location:
  • Phone: 513-709-7759
  • Fax: 513-712-4602
Mailing address:
  • Phone: 513-709-7759
  • Fax: 513-712-4602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: