Provider Demographics
NPI:1376782912
Name:CEESAY, YAMA (RN)
Entity Type:Individual
Prefix:MRS
First Name:YAMA
Middle Name:
Last Name:CEESAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:YAMA
Other - Middle Name:
Other - Last Name:CEESAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:4855 NIELES EDGE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-6500
Mailing Address - Country:US
Mailing Address - Phone:614-353-7351
Mailing Address - Fax:
Practice Address - Street 1:4855 NIELES EDGE DRIVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-2947
Practice Address - Country:US
Practice Address - Phone:614-353-7351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH419034163W00000X
OHPN.118169311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No163W00000XNursing Service ProvidersRegistered Nurse