MEDICARE: ANASIA JANE HOOKS-EZELL

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1942038773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANASIA JANE HOOKS-EZELL

Provider Business Mailing Address
First Line	:	1836 LOCKBOURNE RD APT 320
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-1503
Country	:	US
Telephone Number	:	614-359-3708
Fax Number	:

Provider Business Practice Location Address
First Line	:	1836 LOCKBOURNE RD APT 320
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-1503
Country	:	US
Telephone Number	:	614-230-3057
Fax Number	:

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

Provider Enumeration Date	:	07/23/2024
Last Update Date	:	10/18/2024

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