Individual
JASIMINE VINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3358 RIDGEWOOD RD, FAIRLAWN, OH 44333-3118
(330) 689-9544
Mailing address
3358 RIDGEWOOD RD, AKRON, OH 44333
(330) 689-9544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.348015
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.15979-NP
OH
363LG0600X
Gerontology Nurse Practitioner
COA. 15979-NP
OH
Other
Enumeration date
12/13/2012
Last updated
02/23/2015
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