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NPI Code Detail

MEDICARE: JERINA DAWN HANCOX LPN

MEDICARE:   JERINA DAWN HANCOX  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 Nurse168060OH

General Provider Information

NPI Number : 1639773740
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERINA DAWN HANCOX LPN
Provider Business Mailing Address
First Line : 869 N JENKINS BLVD
Second Line :
City : AKRON
State : OH
Zip : 44306-3767
Country : US
Telephone Number : 330-313-6726
Fax Number :
Provider Business Practice Location Address
First Line : 869 N JENKINS BLVD
Second Line :
City : AKRON
State : OH
Zip : 44306-3767
Country : US
Telephone Number : 330-313-6726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2020
Last Update Date : 11/30/2020

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Directions to “ JERINA DAWN HANCOX LPN” Practice Location

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