Provider Demographics
NPI:1396375689
Name:CRITTENDEN, JAMILYA (PHLEBOTOMIST)
Entity Type:Individual
Prefix:
First Name:JAMILYA
Middle Name:
Last Name:CRITTENDEN
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2252 NE TOWN CENTRE BLVD APT 1701
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-2531
Mailing Address - Country:US
Mailing Address - Phone:816-694-6391
Mailing Address - Fax:
Practice Address - Street 1:2252 NE TOWN CENTRE BLVD APT 1701
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-2531
Practice Address - Country:US
Practice Address - Phone:816-694-6391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-25
Last Update Date:2020-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy