Provider Demographics
NPI:1114514288
Name:PARSON, CHARNAI JABREE
Entity Type:Individual
Prefix:
First Name:CHARNAI
Middle Name:JABREE
Last Name:PARSON
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 1:706 TRIPLETT BLVD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-3441
Mailing Address - Country:US
Mailing Address - Phone:330-289-5991
Mailing Address - Fax:
Practice Address - Street 1:706 TRIPLETT BLVD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-3441
Practice Address - Country:US
Practice Address - Phone:330-289-5991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401966290517376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide