Provider Demographics
NPI:1962745372
Name:JONES, CHERISH NICHOLE (STNA)
Entity type:Individual
Prefix:MISS
First Name:CHERISH
Middle Name:NICHOLE
Last Name:JONES
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 MORROW DR
Mailing Address - Street 2:
Mailing Address - City:SEAMAN
Mailing Address - State:OH
Mailing Address - Zip Code:45679-8008
Mailing Address - Country:US
Mailing Address - Phone:937-217-8564
Mailing Address - Fax:
Practice Address - Street 1:102 MORROW DR
Practice Address - Street 2:
Practice Address - City:SEAMAN
Practice Address - State:OH
Practice Address - Zip Code:45679-8008
Practice Address - Country:US
Practice Address - Phone:937-217-8564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401294360911376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide