Jennifer Rae Al-Noubani, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN244218 Issued in OH

Practice address

12971 Main Market Rd
Garrettsville, OH 44231-9126

Phone

(440) 548-5900

NPI assigned

Oct 21, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1649580846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12971 MAIN MARKET RD",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442319126",
            "telephone_number": "440-548-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12971 MAIN MARKET RD",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442319126",
            "telephone_number": "440-548-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-NOUBANI",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN244218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Garrettsville, OH
• Providers in Garrettsville, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.