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Provider Information for 1760628770


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Mrs. JODY EICHHORN DAVIS RN


Other Names:  
Professional Name: 
Mrs. JODY EICHHORN DAVIS LISW

Sex: Female

NPI: 1760628770
Last Updated: 2024-06-25
Certification Date: 2024-06-25

Details

NameValue
NPI1760628770
Enumeration Date2008-12-22
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2140 WILLOWICK SQ # A
COLUMBUS, OH 43229-1528
United States

Phone: 513-503-6185 | Fax:
 
Primary Practice Address 1301 N HIGH ST
COLUMBUS, OH 43201-2460
United States

Phone: 614-299-6600 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthOHI.1600754
No 163W00000X - Registered Nurse OH335823