Provider Demographics
NPI:1124854013
Name:FLUGEL, JAYNE MARIE (LPN)
Entity type:Individual
Prefix:MRS
First Name:JAYNE
Middle Name:MARIE
Last Name:FLUGEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11490 BERNHART CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-2904
Mailing Address - Country:US
Mailing Address - Phone:513-578-5970
Mailing Address - Fax:
Practice Address - Street 1:11490 BERNHART CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-2904
Practice Address - Country:US
Practice Address - Phone:513-578-5970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH132694164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse