MEDICARE: MRS. JINETTE GOINS RN

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
1	163W00000X	Registered Nurse	RN283318	OH

General Provider Information

NPI Number	:	1225571839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JINETTE GOINS RN

Provider Business Mailing Address
First Line	:	1231 W KEMPER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-1617
Country	:	US
Telephone Number	:	513-766-5351
Fax Number	:	513-619-2415

Provider Business Practice Location Address
First Line	:	1231 W KEMPER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-1617
Country	:	US
Telephone Number	:	513-766-5351
Fax Number	:	513-619-2415

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2016
Last Update Date	:	11/30/2016

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