Jennifer Marie Ericsson, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN.321899 Issued in OH

Practice address

1451 Lucas Rd
Mansfield, OH 44903-8682

Phone

(419) 589-5511

NPI assigned

May 27, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1962660993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 SILLIMAN RD",
            "city": "PLYMOUTH",
            "state": "OH",
            "postal_code": "448659669",
            "telephone_number": "419-687-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 LUCAS RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449038682",
            "telephone_number": "419-589-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICSSON",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OH",
            "license": "RN.321899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirl M Emmil, LPTA
• Sara Endicott
• Amani Engelhardt
• Adam Cole England
• ENT Central LLC
• Natali Erminy Falcon, M.D.
• Laura Lee Ernsberger, LISW-S
• Megan Ervin
• Kelsey Esber, DDS
• Stephen Gregory Escue, M.D.

• Administrator Registered Nurse in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Administrator Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.