Provider Demographics
NPI:1669280145
Name:VENHAM, JOLENE MARIE
Entity type:Individual
Prefix:
First Name:JOLENE
Middle Name:MARIE
Last Name:VENHAM
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 1:279 SPENCE RD
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-8088
Mailing Address - Country:US
Mailing Address - Phone:740-517-4735
Mailing Address - Fax:
Practice Address - Street 1:279 SPENCE RD
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-8088
Practice Address - Country:US
Practice Address - Phone:740-517-4735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant