Provider Demographics
NPI:1700305828
Name:JAYNES, SHAWNTE MARIE
Entity Type:Individual
Prefix:
First Name:SHAWNTE
Middle Name:MARIE
Last Name:JAYNES
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 1:1642 VINE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-6431
Mailing Address - Country:US
Mailing Address - Phone:513-580-1382
Mailing Address - Fax:
Practice Address - Street 1:1642 VINE ST APT 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-6431
Practice Address - Country:US
Practice Address - Phone:513-580-1382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No376K00000XNursing Service Related ProvidersNurse's Aide