Provider Demographics
NPI:1598473894
Name:THOMPSON, JEARINN YAZINEE (STNA)
Entity Type:Individual
Prefix:
First Name:JEARINN
Middle Name:YAZINEE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2714 ORLAND AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-8019
Mailing Address - Country:US
Mailing Address - Phone:513-696-2837
Mailing Address - Fax:
Practice Address - Street 1:2714 ORLAND AVE APT 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-8019
Practice Address - Country:US
Practice Address - Phone:513-696-2837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH602482690422376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty