Provider Demographics
NPI:1477235570
Name:HUNTER, JODEE ROSELYNN
Entity Type:Individual
Prefix:
First Name:JODEE
Middle Name:ROSELYNN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 GREELY CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45806-2802
Mailing Address - Country:US
Mailing Address - Phone:419-996-9903
Mailing Address - Fax:
Practice Address - Street 1:3700 GREELY CHAPEL RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45806-2802
Practice Address - Country:US
Practice Address - Phone:419-996-9903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant