Provider Demographics
NPI:1376120782
Name:THOMPKINS CRAFT, JABRAYAH CRYSHELL
Entity Type:Individual
Prefix:
First Name:JABRAYAH
Middle Name:CRYSHELL
Last Name:THOMPKINS CRAFT
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 1:4201 LOGAN GATE RD APT 301
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-1793
Mailing Address - Country:US
Mailing Address - Phone:330-599-9271
Mailing Address - Fax:
Practice Address - Street 1:4201 LOGAN GATE RD APT 301
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1793
Practice Address - Country:US
Practice Address - Phone:330-599-9271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide