Provider Demographics
NPI:1780110882
Name:KAMARA, JENNEH (NURSE AIDE)
Entity type:Individual
Prefix:
First Name:JENNEH
Middle Name:
Last Name:KAMARA
Suffix:
Gender:F
Credentials:NURSE AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 FOREST MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3731
Mailing Address - Country:US
Mailing Address - Phone:614-266-9222
Mailing Address - Fax:
Practice Address - Street 1:1830 FOREST MAPLE LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3731
Practice Address - Country:US
Practice Address - Phone:614-266-9222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH322173240901376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide