Healthcare Provider Details

I. General information

NPI: 1598697880
Provider Name (Legal Business Name): JAZMINE JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 BRIDAL LN NE
WARREN OH
44484-1403
US

IV. Provider business mailing address

475 FOREST ST
MASURY OH
44438-1026
US

V. Phone/Fax

Practice location:
  • Phone: 216-260-1405
  • Fax:
Mailing address:
  • Phone: 216-260-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: