Provider Demographics
NPI:1457655193
Name:STEMPFLEY, JACKE DENNY (RN)
Entity Type:Individual
Prefix:MS
First Name:JACKE
Middle Name:DENNY
Last Name:STEMPFLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:JACQUELYN
Other - Middle Name:DENNY
Other - Last Name:STEMPFLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:6110 GRAY RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-4514
Mailing Address - Country:US
Mailing Address - Phone:513-259-6222
Mailing Address - Fax:
Practice Address - Street 1:6110 GRAY RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-4514
Practice Address - Country:US
Practice Address - Phone:513-259-6222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN137146163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse