Provider Demographics
NPI:1699532846
Name:PHINNESSEE, SHEVONE (PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:SHEVONE
Middle Name:
Last Name:PHINNESSEE
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 MORNINGVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-3566
Mailing Address - Country:US
Mailing Address - Phone:330-459-1582
Mailing Address - Fax:
Practice Address - Street 1:1502 BRITTAIN RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-3605
Practice Address - Country:US
Practice Address - Phone:330-459-1582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy