Healthcare Provider Details

I. General information

NPI: 1265283071
Provider Name (Legal Business Name): ALLIE JIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2024
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF CINCINNATI MEDICAL CENTER 231 ALBERT SABIN WAY, ML 0558
CINCINNATI OH
45267-0558
US

IV. Provider business mailing address

2222 WALTERDALE TER
LOUISVILLE KY
40205-2027
US

V. Phone/Fax

Practice location:
  • Phone: 765-532-3830
  • Fax:
Mailing address:
  • Phone: 765-532-3830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: