Provider Demographics
NPI:1972240067
Name:ADKINS, JEANETTE
Entity Type:Individual
Prefix:MRS
First Name:JEANETTE
Middle Name:
Last Name:ADKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JEANETTE
Other - Middle Name:
Other - Last Name:ADKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8416 WISWELL ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45216-1225
Mailing Address - Country:US
Mailing Address - Phone:513-551-9551
Mailing Address - Fax:
Practice Address - Street 1:8416 WISWELL ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45216-1225
Practice Address - Country:US
Practice Address - Phone:513-551-9551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No347C00000XTransportation ServicesPrivate Vehicle