Provider Demographics
NPI:1407083926
Name:JOSEPH, TERRI JANE (RN)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:JANE
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7472 CHRISTOPHER DR
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-2564
Mailing Address - Country:US
Mailing Address - Phone:330-757-0882
Mailing Address - Fax:
Practice Address - Street 1:7472 CHRISTOPHER DR
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-2564
Practice Address - Country:US
Practice Address - Phone:330-757-0882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 163229163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse