Provider Demographics
NPI:1457123283
Name:SAUNDERS, JESSICA
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:SAUNDERS
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:PO BOX 112
Mailing Address - Street 2:
Mailing Address - City:MURRAY CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43144-0112
Mailing Address - Country:US
Mailing Address - Phone:740-517-6348
Mailing Address - Fax:
Practice Address - Street 1:45747 LONG ST
Practice Address - Street 2:
Practice Address - City:MURRAY CITY
Practice Address - State:OH
Practice Address - Zip Code:43144-5047
Practice Address - Country:US
Practice Address - Phone:740-517-6348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide