Provider Demographics
NPI:1407275449
Name:DEES, JORDAN BRADLEE (RN BSN)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:BRADLEE
Last Name:DEES
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-1636
Mailing Address - Country:US
Mailing Address - Phone:513-868-5620
Mailing Address - Fax:513-868-5625
Practice Address - Street 1:1125 MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-1636
Practice Address - Country:US
Practice Address - Phone:513-868-5620
Practice Address - Fax:513-868-5625
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.393932-163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool