Provider Demographics
NPI:1194526616
Name:STALLINGS, RONNEISHA JOHNNAE
Entity type:Individual
Prefix:
First Name:RONNEISHA
Middle Name:JOHNNAE
Last Name:STALLINGS
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 1:790 CARLYSLE ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-2069
Mailing Address - Country:US
Mailing Address - Phone:234-340-4021
Mailing Address - Fax:
Practice Address - Street 1:790 CARLYSLE ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-2069
Practice Address - Country:US
Practice Address - Phone:234-340-4021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide