Provider Demographics
NPI:1437965175
Name:CRAWFORD, JAZMIN NICOLE
Entity type:Individual
Prefix:
First Name:JAZMIN
Middle Name:NICOLE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5457 SOUTHGATE BLVD APT 1
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-3447
Mailing Address - Country:US
Mailing Address - Phone:513-816-4100
Mailing Address - Fax:
Practice Address - Street 1:5457 SOUTHGATE BLVD APT 1
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-3447
Practice Address - Country:US
Practice Address - Phone:513-816-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-07
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker