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Individual

SANDRA L JAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4125 MEDINA RD, AKRON, OH 44333-2483
(330) 344-6525
(330) 996-2943
Mailing address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-6525
(330) 996-2943

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
E.0003036
OH
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN 225855
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA 15232 NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0095290
OH
01
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
07/07/2009
Last updated
01/20/2016
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