Provider Demographics
NPI:1275837072
Name:KNIGHT, JALONDA S (12/03/1982)
Entity Type:Individual
Prefix:MISS
First Name:JALONDA
Middle Name:S
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:12/03/1982
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3317 ROOSEVELT BLVD
Mailing Address - Street 2:APT.A
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-6837
Mailing Address - Country:US
Mailing Address - Phone:513-727-4514
Mailing Address - Fax:
Practice Address - Street 1:3317 ROOSEVELT BLVD
Practice Address - Street 2:APT.A
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-6837
Practice Address - Country:US
Practice Address - Phone:513-727-4514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide