Provider Demographics
NPI:1639586829
Name:CURRY, TYJUNA
Entity Type:Individual
Prefix:MISS
First Name:TYJUNA
Middle Name:
Last Name:CURRY
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 1:3567 RINGLING LN
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-4611
Mailing Address - Country:US
Mailing Address - Phone:614-592-3068
Mailing Address - Fax:614-372-5621
Practice Address - Street 1:3567 RINGLING LN
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-4611
Practice Address - Country:US
Practice Address - Phone:614-592-3068
Practice Address - Fax:614-372-5621
Is Sole Proprietor?:No
Enumeration Date:2014-07-19
Last Update Date:2014-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2937166Medicaid