Provider Demographics
NPI:1609520543
Name:WASHINGTON, JOSLYN (CNA , CMA)
Entity Type:Individual
Prefix:
First Name:JOSLYN
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:CNA , CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-2639
Mailing Address - Country:US
Mailing Address - Phone:217-816-6487
Mailing Address - Fax:
Practice Address - Street 1:824 S 2ND ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-2639
Practice Address - Country:US
Practice Address - Phone:217-816-6487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide