Provider Demographics
NPI:1205569969
Name:MAYLE, JARIKA JEAN (RN)
Entity type:Individual
Prefix:
First Name:JARIKA
Middle Name:JEAN
Last Name:MAYLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MCCONNELSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43756-1154
Mailing Address - Country:US
Mailing Address - Phone:740-607-0399
Mailing Address - Fax:
Practice Address - Street 1:2146 SOUTHGATE PKWY STE 4
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-3096
Practice Address - Country:US
Practice Address - Phone:800-358-8262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.447143163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse