Provider Demographics
NPI:1326886557
Name:PERRY, JASMINE LYNETTE
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:LYNETTE
Last Name:PERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3714 E 105TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-2412
Mailing Address - Country:US
Mailing Address - Phone:216-235-7271
Mailing Address - Fax:
Practice Address - Street 1:3714 E 105TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-2412
Practice Address - Country:US
Practice Address - Phone:216-235-7271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-20
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker