Provider Demographics
NPI:1710726310
Name:GEGICK, JAMIE CARMEN (RN)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:CARMEN
Last Name:GEGICK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-1157
Mailing Address - Country:US
Mailing Address - Phone:740-699-2300
Mailing Address - Fax:
Practice Address - Street 1:447 OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:WINTERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43953-7418
Practice Address - Country:US
Practice Address - Phone:740-275-1308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.347210163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse