Provider Demographics
NPI:1518080498
Name:JARRELLS, SHEILA I (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:I
Last Name:JARRELLS
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 1:3580 TIMBROOK CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45431-2529
Mailing Address - Country:US
Mailing Address - Phone:937-427-1910
Mailing Address - Fax:937-427-9460
Practice Address - Street 1:3580 TIMBROOK CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45431-2529
Practice Address - Country:US
Practice Address - Phone:937-427-1910
Practice Address - Fax:937-427-9460
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 108913163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health