Provider Demographics
NPI:1649929605
Name:FRANK, JESSE A
Entity type:Individual
Prefix:
First Name:JESSE
Middle Name:A
Last Name:FRANK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 E ALBERT ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-1610
Mailing Address - Country:US
Mailing Address - Phone:419-234-3049
Mailing Address - Fax:
Practice Address - Street 1:920 E ALBERT ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-1610
Practice Address - Country:US
Practice Address - Phone:419-234-3049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker