Provider Demographics
NPI:1972376416
Name:HAMONS, JENNY LOU
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:LOU
Last Name:HAMONS
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 1:401 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:REPUBLIC
Mailing Address - State:OH
Mailing Address - Zip Code:44867-0394
Mailing Address - Country:US
Mailing Address - Phone:567-230-3029
Mailing Address - Fax:
Practice Address - Street 1:401 MADISON ST
Practice Address - Street 2:
Practice Address - City:REPUBLIC
Practice Address - State:OH
Practice Address - Zip Code:44867-0394
Practice Address - Country:US
Practice Address - Phone:567-230-3029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker