Provider Demographics
NPI:1619574753
Name:SHEFFIELD, JEAN CAROLYN
Entity Type:Individual
Prefix:MISS
First Name:JEAN
Middle Name:CAROLYN
Last Name:SHEFFIELD
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 1:2770 SYLVIA AVE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:OH
Mailing Address - Zip Code:44047-9774
Mailing Address - Country:US
Mailing Address - Phone:440-812-3428
Mailing Address - Fax:
Practice Address - Street 1:2770 SYLVIA AVE
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:OH
Practice Address - Zip Code:44047-9774
Practice Address - Country:US
Practice Address - Phone:440-812-3428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide