JESSICA LEE ANDRUS (NPI# 1770109621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770109621 |
| Entity Type | Individual |
| Full Name | JESSICA LEE ANDRUS |
| Credential | LPN |
| Practice Address |
1369 Smith Ln Londonderry OH 45647-9743 |
| Practice Telephone | 7407017452 |
| Mailing Telephone | 7407017452 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 175079 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO BOARD OF NURSING | 175079 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710330949 | Jessica Noel Andrus | Social Worker | 510 N Range Ave Ste A, Denham Springs, LA 70726-2925 | 2016-07-22 |
| Street Address |
1369 SMITH LN |
| City | LONDONDERRY |
| State | OH |
| Zip Code | 45647-9743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689103954 | Charity Ann Marshall | Contractor | 37 Jason Ln, Londonderry, OH 45647 | 2017-06-08 |
| 1891014775 | Theresa A Nolan | Registered Nurse | 531 Cotterman Lane, Londonderry, OH 45647 | 2010-05-18 |
| 1912305467 | Jessica Marie Remy I | Licensed Practical Nurse | 51514 Old Route 50, Londonderry, OH 45647-8908 | 2014-12-16 |
| 1215155981 | Mary Jo Glandon | Home Health Aide | 51514 Old Route 50, Londonderry, OH 45647-8908 | 2007-04-20 |
| 1205178407 | Angela Lynn Miracle | Licensed Practical Nurse | 54818 Us Highway 50, Londonderry, OH 45647-8938 | 2013-03-26 |
| 1265836258 | Leisha Hunt | Adult Companion | 51632 Eagle Mills Rd, Londonderry, OH 45647-8977 | 2014-10-20 |
| 1952519217 | Renee M Wilburn | Licensed Practical Nurse | 34029 Us Highway 50, Londonderry, OH 45647-9704 | 2007-05-19 |
| 1194183301 | Joyanne Y Cradlebaugh | Licensed Practical Nurse | 201 Madru Rd, Londonderry, OH 45647-9716 | 2016-02-02 |
| 1063532331 | Denise Ann Carrico | Registered Nurse | 34986 Us Highway 50, Londonderry, OH 45647-9722 | 2007-03-30 |
| 1982724233 | Tracy Lee Carrico | Licensed Practical Nurse | 34986 Us Highway 50, Londonderry, OH 45647-9722 | 2007-03-30 |
| Find all providers in zip 45647 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194183301 | Joyanne Y Cradlebaugh | Licensed Practical Nurse | 201 Madru Rd, Londonderry, OH 45647-9716 | 2016-02-02 |
| 1235521998 | Suanna Duve | Licensed Practical Nurse | 460 Cotterman Ln, Londonderry, OH 45647-9778 | 2015-03-04 |
| 1912305467 | Jessica Marie Remy I | Licensed Practical Nurse | 51514 Old Route 50, Londonderry, OH 45647-8908 | 2014-12-16 |
| 1205178407 | Angela Lynn Miracle | Licensed Practical Nurse | 54818 Us Highway 50, Londonderry, OH 45647-8938 | 2013-03-26 |
| 1780895847 | Sharon Parlee Bride | Licensed Practical Nurse | 23 Holly Ln, Londonderry, NH 03053-3779 | 2007-05-24 |
| 1952519217 | Renee M Wilburn | Licensed Practical Nurse | 34029 Us Highway 50, Londonderry, OH 45647-9704 | 2007-05-19 |
| 1154345999 | Alicia Virginia Bennett | Licensed Practical Nurse | 122 Smith Ln, Londonderry, OH 45647-9762 | 2006-07-26 |
| 1982724233 | Tracy Lee Carrico | Licensed Practical Nurse | 34986 Us Highway 50, Londonderry, OH 45647-9722 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841277 | Deja Shepard | Licensed Practical Nurse | 725 Hand Ave, Cincinnati, OH 45232-1736 | 2020-11-06 |
| 1932700309 | Heather Mershon | Licensed Practical Nurse | 1535 E Hickory Grove Rd, Urbana, OH 43078-9475 | 2020-11-03 |
| 1831799774 | Kristina Maria Sorbilli | Licensed Practical Nurse | 709 N Cable Rd Ste A, Lima, OH 45805-1737 | 2020-10-29 |
| 1659971745 | Christina Johanna Ambrose | Licensed Practical Nurse | 3779 Huntmere Ave, Austintown, OH 44515-3144 | 2020-10-28 |
| 1063012227 | Stephanie Ann Mcknight | Licensed Practical Nurse | 2513 Zircon St Ne, Canton, OH 44721-1762 | 2020-10-27 |
| 1043810435 | Victoria R Berry | Licensed Practical Nurse | 3814 Charter Oak Way, Columbus, OH 43219-6150 | 2020-10-27 |
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1457950826 | Crystal Rae Macey | Licensed Practical Nurse | 127 51st St Se, Canton, OH 44707-1013 | 2020-10-18 |
| 1205434982 | Elizabeth M Njuangang | Licensed Practical Nurse | 17603 Whitney Rd Apt 108, Strongsville, OH 44136-2447 | 2020-10-14 |
| 1023616117 | Verenda Deon Evans | Licensed Practical Nurse | 180 Brush Rd, Richmond Hts, OH 44143-1128 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | LONDONDERRY |
| Zip Code | 45647 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.