Tullis, Jacquelyn Maldoshia

Tullis, Jacquelyn Maldoshia is an individual health care provider with primary practice located at 12275 Butterfield Drive , Pickerington OH 43147. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Tullis, Jacquelyn Maldoshia can be contacted via phone (614) 860-8428.

Contact Information

Primary practice address

12275 Butterfield Drive Pickerington OH 43147

Phone: (614) 860-8428

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Nursing Service Providers / Registered Nurse	163W00000X	RN270393	Ohio

Profile Details

NPI number	1396948196
LBN Legal business name	Tullis, Jacquelyn Maldoshia
Credentials	Registered Nurse (RN)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 8th, 2007
Last updated	Jul 8th, 2007 - about 17 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1396948196	NPPES
Ohio	MEDICAID	2317602

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