Provider Demographics
NPI:1326286832
Name:PAUKEN, JENNIFER G (RN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:G
Last Name:PAUKEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2531 WOODLEY RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4835
Mailing Address - Country:US
Mailing Address - Phone:614-891-5880
Mailing Address - Fax:
Practice Address - Street 1:2531 WOODLEY RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4835
Practice Address - Country:US
Practice Address - Phone:614-891-5880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN330328163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics