Provider Demographics
NPI:1326805201
Name:SMITH, JAMIKA M (MA)
Entity Type:Individual
Prefix:MS
First Name:JAMIKA
Middle Name:M
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 BURBANK AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44509-1524
Mailing Address - Country:US
Mailing Address - Phone:330-937-3228
Mailing Address - Fax:
Practice Address - Street 1:2122 BURBANK AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44509-1524
Practice Address - Country:US
Practice Address - Phone:330-937-3228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health