Connie J. Jeandervin, RN

Registered Nurse · Dover, OH

Individual Active NPI

NPI number 1194023267

Practice location

524 Evergreen Dr
Dover, OH 44622-1302
Phone
(330) 364-6184

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NPI record

NPI
1194023267
Entity type
Individual (Type 1)
Enumeration date
March 14, 2011
Last updated
March 14, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X RN.176450 OH

About Connie Jeandervin

Connie J. Jeandervin, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 524 Evergreen Dr, Dover, OH 44622-1302. The NPI number 1194023267 was assigned on March 14, 2011 and the record was last updated on March 14, 2011.

Connie Jeandervin lists a license in the registry: #RN.176450 (OH) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Connie J. Jeandervin, RN?

The NPI number is 1194023267.

What is the phone number of Connie Jeandervin?

The phone number listed for the practice location is (330) 364-6184.

Where is Connie Jeandervin located?

524 Evergreen Dr, Dover, OH 44622-1302.

What is the taxonomy code for Connie Jeandervin?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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