MEDICARE: NEW CONCEPTS II LLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891003737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW CONCEPTS II LLC

Provider Business Mailing Address
First Line	:	2868 COMPTON RD STE 100
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-2634
Country	:	US
Telephone Number	:	513-712-8182
Fax Number	:

Provider Business Practice Location Address
First Line	:	2868 COMPTON RD STE 100
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-2634
Country	:	US
Telephone Number	:	513-712-8182
Fax Number	:	513-880-0606

Authorized Official
Title or Position	:	OWNER
Name	:	JANECIA LYNN KENNEDY
Credential	:	NP
Telephone Number	:	513-607-5524

Provider Enumeration Date	:	09/14/2010
Last Update Date	:	05/06/2024

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Directions to “NEW CONCEPTS II LLC ” Practice Location

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