Jazemine Clark
Individual provider Active NPI Case Manager/Care Coordinator · Plain City, OH
NPI 1396107553 · NPPES record last updated Mar 25, 2016
Key facts
- NPI
- 1396107553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 458 W Main St
Plain City, OH 43064-1035 - Phone
- (614) 849-2981
- NPI assigned
- Mar 25, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
458 W Main St
Plain City, OH 43064-1035
Mailing address
458 West Main Street
Plain City, OH 43064
Other providers in Plain City, OH
- Lauren Chauvin
- Children'S Emurgent Care
- Heidi Chow
- Christa Le Nutrition LLC
- Darren P Clancy
- Columbus Counseling Connection
- Elizabeth Colby Cooper
- Stacia Cooper
- Asia K Cordova
- Douglas Cornelius
All providers in Plain City, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.