Provider Demographics
NPI:1467665125
Name:JAMEAN R. MALLINSON
Entity Type:Organization
Organization Name:JAMEAN R. MALLINSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMEAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:MALLINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN, LNC
Authorized Official - Phone:614-851-1480
Mailing Address - Street 1:523 STAR SPANGLED PL.
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119
Mailing Address - Country:US
Mailing Address - Phone:614-851-1480
Mailing Address - Fax:614-851-1480
Practice Address - Street 1:523 STAR SPANGLED PL
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:OH
Practice Address - Zip Code:43119-8009
Practice Address - Country:US
Practice Address - Phone:614-851-1480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN0823213140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric