Provider Demographics
NPI:1215572227
Name:JURA, FLORICA (RN)
Entity type:Individual
Prefix:MRS
First Name:FLORICA
Middle Name:
Last Name:JURA
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 1:5395 CRYSTAL COVE CIR
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-1600
Mailing Address - Country:US
Mailing Address - Phone:330-650-0727
Mailing Address - Fax:
Practice Address - Street 1:5395 CRYSTAL COVE CIR
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1600
Practice Address - Country:US
Practice Address - Phone:330-650-0727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH349281163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty