Provider Demographics
NPI:1306613419
Name:BALL, JAMIE LYNN (HOME HEALTH AIDE)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LYNN
Last Name:BALL
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 PARSONS AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-3705
Mailing Address - Country:US
Mailing Address - Phone:122-021-6780
Mailing Address - Fax:
Practice Address - Street 1:3131 PARSONS AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-3705
Practice Address - Country:US
Practice Address - Phone:220-216-7809
Practice Address - Fax:220-216-7809
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-08
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide