Provider Demographics
NPI:1831380401
Name:JARED, RITA JO (RN)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:JO
Last Name:JARED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1069 SUNBURY LAKE DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7454
Mailing Address - Country:US
Mailing Address - Phone:614-890-2644
Mailing Address - Fax:614-890-5484
Practice Address - Street 1:1069 SUNBURY LAKE DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7454
Practice Address - Country:US
Practice Address - Phone:614-890-2644
Practice Address - Fax:614-890-5484
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN200015163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse