Angela Lynn Canode, REGISTERED NURSE

Individual provider Active NPI Home Health Registered Nurse · Jackson, OH

NPI 1043923873 · NPPES record last updated Dec 26, 2022

Key facts

NPI
1043923873
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
RN.477964 (OH)
Practice address
309 Karr Rd
Jackson, OH 45640-9124
Phone
(740) 288-5576
NPI assigned
Dec 26, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN.477964OHMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN.477964 OH Yes

Addresses

Primary practice location

309 Karr Rd
Jackson, OH 45640-9124

Mailing address

309 Karr Rd
Jackson, OH 45640-9124
Phone (740) 288-5576

Other providers in Jackson, OH

All providers in Jackson, OH · Home Health Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.