Jennifer Leabell Ernsberger, RN
Individual provider Active NPI Registered Nurse · Bloomville, OH
NPI 1508092941 · NPPES record last updated May 29, 2009
Key facts
- NPI
- 1508092941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.317576 (OH)
- Practice address
- 6569 State Route 4
Bloomville, OH 44818-9347 - Phone
- (419) 988-0205
- Fax
- (419) 988-0259
- NPI assigned
- May 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.317576 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.317576 | OH | Yes |
Addresses
Primary practice location
6569 State Route 4
Bloomville, OH 44818-9347
Mailing address
6569 State Route 4
Bloomville, OH 44818-9347
Phone (419) 988-0205
Other providers in Bloomville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.