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NPI Code Detail

MEDICARE: JESSICA L TALBOTT LPN

MEDICARE: JESSICA L TALBOTT LPN
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
1164W00000XLicensed Practical NurseLPN.141288.MEDS-IVOH

General Provider Information

NPI Number : 1588969455
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA L TALBOTT LPN
Provider Business Mailing Address
First Line : 615 ELSINORE PL STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1457
Country : US
Telephone Number : 513-834-7063
Fax Number :
Provider Business Practice Location Address
First Line : 1505 N COLE ST
Second Line :
City : LIMA
State : OH
Zip : 45801-2432
Country : US
Telephone Number : 513-834-7063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2011
Last Update Date : 07/09/2021

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