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NPI Code Detail

MEDICARE: JONATHAN EDWARD JARRELL

MEDICARE:   JONATHAN EDWARD JARRELL
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1912129669
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN EDWARD JARRELL
Provider Business Mailing Address
First Line : 2716 S 5TH ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-2711
Country : US
Telephone Number : 740-534-9326
Fax Number :
Provider Business Practice Location Address
First Line : 1607 CHARLOTTE ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-1146
Country : US
Telephone Number : 740-533-0061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/08/2007

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Directions to “ JONATHAN EDWARD JARRELL ” Practice Location

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