Provider Demographics
NPI:1992163323
Name:RIGGINS, JAHAYLA CHRISTINE (STNA)
Entity type:Individual
Prefix:
First Name:JAHAYLA
Middle Name:CHRISTINE
Last Name:RIGGINS
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 1:1063 NADIA CT
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-3745
Mailing Address - Country:US
Mailing Address - Phone:330-906-4915
Mailing Address - Fax:
Practice Address - Street 1:1063 NADIA CT
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-3745
Practice Address - Country:US
Practice Address - Phone:330-906-4915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-30
Last Update Date:2016-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401592771113163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health