Provider Demographics
NPI:1639935984
Name:SLOAN, JAMISON ELIZABETH
Entity Type:Individual
Prefix:
First Name:JAMISON
Middle Name:ELIZABETH
Last Name:SLOAN
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 1:3740 WYNDHAM RIDGE DR APT 102
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-6152
Mailing Address - Country:US
Mailing Address - Phone:912-207-1030
Mailing Address - Fax:
Practice Address - Street 1:3740 WYNDHAM RIDGE DR APT 102
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-6152
Practice Address - Country:US
Practice Address - Phone:912-207-1030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care