MEDICARE: MS. JACQUELINE MARIE LEE

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1588513907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JACQUELINE MARIE LEE

Provider Business Mailing Address
First Line	:	2522 N GETTYSBURG AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-1707
Country	:	US
Telephone Number	:	937-751-4540
Fax Number	:

Provider Business Practice Location Address
First Line	:	2522 N GETTYSBURG AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-1707
Country	:	US
Telephone Number	:	937-751-4540
Fax Number	:

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

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

Similar Medicare Providers

1265544274 — SHELTON PHARMACY
Practice Location Address:

1525 WAYNE AVE
DAYTON, OH
45410-1707

Practice Phone: 937-253-4108
Practice Fax: 937-253-8662

1033283676 — GRACEWORKS ENHANCED LIVING
Practice Location Address:

1707 CLARENCE ST
DAYTON, OH
45410-2607

Practice Phone: 937-256-9011
Practice Fax:

1174726673 — DR. VANESSA EDWARDS NMD, LAC
Practice Location Address:

4380 SALEM AVE
DAYTON, OH
45416-1707

Practice Phone: 937-275-9473
Practice Fax: 937-274-5799

1083005144 — ASSESS HOMECARE SOLUTIONS, LLC
Practice Location Address:

4374 SALEM AVE
DAYTON, OH
45416-1707

Practice Phone: 937-433-7900
Practice Fax: 937-433-8400

1700744513 — RENEE CALDWELL
Practice Location Address:

2521 ARCHWOOD DR
DAYTON, OH
45406-1404

Practice Phone: 937-654-0736
Practice Fax:

1417815234 — TRACEY DENISE GILBERT
Practice Location Address:

2521 WOODWAY AVE
DAYTON, OH
45406-2153

Practice Phone: 973-267-4709
Practice Fax: --

Directions to “ MS. JACQUELINE MARIE LEE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.