MEDICARE: JESSICA OSEI NYARKO

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	376K00000X	Nurse's Aide	323251771123	OH

General Provider Information

NPI Number	:	1457106940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA OSEI NYARKO

Provider Business Mailing Address
First Line	:	3523 TAIT RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45439-2531
Country	:	US
Telephone Number	:	937-830-5465
Fax Number	:	937-249-6427

Provider Business Practice Location Address
First Line	:	3523 TAIT RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45439-2531
Country	:	US
Telephone Number	:	937-830-5465
Fax Number	:	937-249-6427

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

Provider Enumeration Date	:	04/18/2024
Last Update Date	:	04/18/2024

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Directions to “ JESSICA OSEI NYARKO ” Practice Location

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