Provider Demographics
NPI:1639417843
Name:SELL, JAMIE LEE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:LEE
Last Name:SELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:JAMIE
Other - Middle Name:LEE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5106 MILLER SOUTH RD
Mailing Address - Street 2:
Mailing Address - City:BRISTOLVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44402-9780
Mailing Address - Country:US
Mailing Address - Phone:330-984-2076
Mailing Address - Fax:
Practice Address - Street 1:5106 MILLER SOUTH RD
Practice Address - Street 2:
Practice Address - City:BRISTOLVILLE
Practice Address - State:OH
Practice Address - Zip Code:44402-9780
Practice Address - Country:US
Practice Address - Phone:330-984-2076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350761163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health