Healthcare Provider Details

I. General information

NPI: 1497618037
Provider Name (Legal Business Name): CHRISTINA JEFFRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 FERNWOOD DR
AKRON OH
44320-3047
US

IV. Provider business mailing address

623 FERNWOOD DR
AKRON OH
44320-3047
US

V. Phone/Fax

Practice location:
  • Phone: 330-714-8875
  • Fax:
Mailing address:
  • Phone: 330-714-8875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA JEFFRIES
Title or Position: PEER SUPPORT SPECIALIST
Credential: CPRS,CDCA
Phone: 330-714-8875