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Jacqueline Marie Burks
Home Health Aide in Ravenna, Ohio
NPI 1740050764

Jacqueline Marie Burks is a Home Health Aide based in Ravenna, OH. Jacqueline Marie Burks practices in Ravenna, OH. The NPI Number for Jacqueline Marie Burks is 1740050764 and holds a License No. 6705177 (Ohio).

The current practice location address for Jacqueline Marie Burks is 668 Page St Apt 4, Ravenna, OH and can be reached out via phone at 133-028-1820.

Location: 668 Page St Apt 4, Ravenna, OH, 44266-2870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740050764
Provider Name
Jacqueline Marie Burks
Credential
Provider Entity Type
Individual
Gender
Female
Address
668 Page St Apt 4, Ravenna, OH, 44266-2870
Phone Number
133-028-1820
Fax Number
Provider Enumeration Date
01/02/2024
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0176244 05 OH
institution
Provider Business Practice Location Address Details
Address
668 Page St Apt 4
City
Ravenna
State
Ohio
Zip
44266-2870
Phone Number
133-028-1820
Fax Number
person
Provider Business Mailing Address Details
Address
668 Page St Apt 4
City
Ravenna
State
Ohio
Zip
44266-2870
Phone Number
133-028-1820
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
6705177 (Ohio)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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