Provider Demographics
NPI:1225861164
Name:MACHAMER, JILLIAN LYNN
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:LYNN
Last Name:MACHAMER
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 1:83 LEDGE RD APT 314A
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-1465
Mailing Address - Country:US
Mailing Address - Phone:234-237-2055
Mailing Address - Fax:
Practice Address - Street 1:83 LEDGE RD APT 314A
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44067-1465
Practice Address - Country:US
Practice Address - Phone:234-237-2055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker