Provider Demographics
NPI:1073051272
Name:TURPIN-ALLISON, R'AJJA LEE
Entity type:Individual
Prefix:
First Name:R'AJJA
Middle Name:LEE
Last Name:TURPIN-ALLISON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 BARTON PL NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44705-1232
Mailing Address - Country:US
Mailing Address - Phone:234-417-1776
Mailing Address - Fax:
Practice Address - Street 1:1220 BARTON PL NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44705-1232
Practice Address - Country:US
Practice Address - Phone:234-417-1776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-08
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
OH498263163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0202685Medicaid
OH7610348OtherDODD CONTRACT NUMBER
OH0000244057OtherSUPPLIER NUMBER