Jazzmine Azbell, LPN

Individual provider Active NPI Licensed Practical Nurse · Lancaster, OH

NPI 1417522343 · NPPES record last updated Mar 10, 2022

Key facts

NPI
1417522343
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN.166497.MEDS-IV (OH)
Practice address
1750 Granville Pike
Lancaster, OH 43130-1041
Phone
(833) 510-4357
Fax
(866) 460-2997
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
LPN.166497.MEDS-IVOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Recovery of Circleville Past
since Jun 1, 2021
Accepting new patients
Full Circle Recovery of Circleville Past
since May 1, 2022
Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/hopevalleyrecovery/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.166497.MEDS-IV OH Yes

Addresses

Primary practice location

1750 Granville Pike
Lancaster, OH 43130-1041

Mailing address

615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (833) 510-4357

Other practice location 1

615 Elsinore Pl Ste 200
Cincinnati, OH 45202-1457
Phone (833) 510-4357

Other providers in Lancaster, OH

All providers in Lancaster, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.