Healthcare Provider Details

I. General information

NPI: 1326956962
Provider Name (Legal Business Name): JEANNE RAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 CASTLE BLVD
AKRON OH
44313-5757
US

IV. Provider business mailing address

47 N MAIN ST
AKRON OH
44308-1971
US

V. Phone/Fax

Practice location:
  • Phone: 330-761-2775
  • Fax: 330-836-2293
Mailing address:
  • Phone: 330-543-3990
  • Fax: 330-543-3782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number394636
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: