Provider Demographics
NPI:1689844599
Name:ST CLAIR, PRISCELLA (RN)
Entity Type:Individual
Prefix:MS
First Name:PRISCELLA
Middle Name:
Last Name:ST CLAIR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PRISCELLA
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2399 EAST 38TH STREET
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115
Mailing Address - Country:US
Mailing Address - Phone:216-426-0073
Mailing Address - Fax:
Practice Address - Street 1:2186 AMBELSIDE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-721-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN305064163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse