Provider Demographics
NPI:1669255386
Name:ARNOLD, JEFFREY LEE (RN)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:LEE
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:JEFFREY
Other - Middle Name:LEE
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:61695 WINTERGREEN RD
Mailing Address - Street 2:
Mailing Address - City:LORE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43755-9782
Mailing Address - Country:US
Mailing Address - Phone:740-680-6493
Mailing Address - Fax:
Practice Address - Street 1:890 ORCHARD HILL RD
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1363
Practice Address - Country:US
Practice Address - Phone:740-704-3301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.324223163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty