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NPI Code Detail

MEDICARE: JESSICA HOUSE RN

MEDICARE:   JESSICA  HOUSE  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 NurseRN.392203OH

General Provider Information

NPI Number : 1386586055
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA HOUSE RN
Provider Business Mailing Address
First Line : 4777 E GALBRAITH RD STE 320
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2725
Country : US
Telephone Number : 513-751-2273
Fax Number : 513-751-1848
Provider Business Practice Location Address
First Line : 4777 E GALBRAITH RD STE 320
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2725
Country : US
Telephone Number : 513-751-2273
Fax Number : 513-751-1848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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