MEDICARE: JEARINN YAZINEE THOMPSON STNA

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	602482690422	OH

General Provider Information

NPI Number	:	1598473894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEARINN YAZINEE THOMPSON STNA

Provider Business Mailing Address
First Line	:	2714 ORLAND AVE APT 1
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-8019
Country	:	US
Telephone Number	:	513-696-2837
Fax Number	:

Provider Business Practice Location Address
First Line	:	2714 ORLAND AVE APT 1
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-8019
Country	:	US
Telephone Number	:	513-696-2837
Fax Number	:

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

Provider Enumeration Date	:	11/07/2022
Last Update Date	:	11/07/2022

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