Provider Demographics
NPI:1437746641
Name:RUFFIN KUMPUS, JEANNE RUFFIN
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:RUFFIN
Last Name:RUFFIN KUMPUS
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 1:1844 6TH ST NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44704-1963
Mailing Address - Country:US
Mailing Address - Phone:330-933-8400
Mailing Address - Fax:
Practice Address - Street 1:1844 6TH ST NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44704-1963
Practice Address - Country:US
Practice Address - Phone:330-933-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide