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NPI Code Detail

MEDICARE: MS. JAMEKA A MCCOMBS RN

MEDICARE: MS. JAMEKA A MCCOMBS 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
1163W00000XRegistered Nurse1171335KY
2163W00000XRegistered Nurse106816WV
3163W00000XRegistered Nurse28257156AIN
4164W00000XLicensed Practical NurseLPN078779GA
5164W00000XLicensed Practical NursePN129762OH
6163W00000XRegistered NurseRN.437408OH

Other Identifiers

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

General Provider Information

NPI Number : 1306269881
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JAMEKA A MCCOMBS RN
Provider Business Mailing Address
First Line : 2312 FAR HILLS AVE STE 113
Second Line :
City : OAKWOOD
State : OH
Zip : 45419-1512
Country : US
Telephone Number : 937-668-9678
Fax Number : 937-867-5417
Provider Business Practice Location Address
First Line : 2312 FAR HILLS AVE STE 113
Second Line :
City : OAKWOOD
State : OH
Zip : 45419-1512
Country : US
Telephone Number : 937-668-9678
Fax Number : 937-867-5417
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2014
Last Update Date : 05/24/2021

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Directions to “ MS. JAMEKA A MCCOMBS RN” Practice Location

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