Provider Demographics
NPI:1427307271
Name:WILLIAMS, JASLYN RAEONA (STNA,CPR)
Entity type:Individual
Prefix:
First Name:JASLYN
Middle Name:RAEONA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:STNA,CPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 BENNINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-3408
Mailing Address - Country:US
Mailing Address - Phone:330-507-6754
Mailing Address - Fax:
Practice Address - Street 1:50 WESTMINSTER AVE
Practice Address - Street 2:APT 21
Practice Address - City:AUSTINTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-2936
Practice Address - Country:US
Practice Address - Phone:330-787-5658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide