Provider Demographics
NPI:1366288805
Name:CAUDILL, JAMIE JO
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:JO
Last Name:CAUDILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 N CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:RICHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:43344-1025
Mailing Address - Country:US
Mailing Address - Phone:740-262-3431
Mailing Address - Fax:
Practice Address - Street 1:208 N CLINTON ST
Practice Address - Street 2:
Practice Address - City:RICHWOOD
Practice Address - State:OH
Practice Address - Zip Code:43344-1025
Practice Address - Country:US
Practice Address - Phone:740-262-3431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker