Healthcare Provider Details

I. General information

NPI: 1144134651
Provider Name (Legal Business Name): JESSICA S MBATCHOU I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 YORKHAVEN RD
CINCINNATI OH
45240-1227
US

IV. Provider business mailing address

901 YORKHAVEN RD
CINCINNATI OH
45240-1227
US

V. Phone/Fax

Practice location:
  • Phone: 513-267-0649
  • Fax: 513-829-0013
Mailing address:
  • Phone: 513-267-0649
  • Fax: 513-829-0013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: