Provider Demographics
NPI:1811716574
Name:BERNEY, JONDA JUANITA
Entity type:Individual
Prefix:MISS
First Name:JONDA
Middle Name:JUANITA
Last Name:BERNEY
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 1:12097 HAZELHURST DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1237
Mailing Address - Country:US
Mailing Address - Phone:513-507-3063
Mailing Address - Fax:
Practice Address - Street 1:12097 HAZELHURST DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1237
Practice Address - Country:US
Practice Address - Phone:513-507-3063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH600270880523374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide