Provider Demographics
NPI:1790098721
Name:REMINDER, JENNIFER LYNN (RN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LYNN
Last Name:REMINDER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1570 RUSSELL DR
Mailing Address - Street 2:APARTMENT E
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-8360
Mailing Address - Country:US
Mailing Address - Phone:216-526-5322
Mailing Address - Fax:
Practice Address - Street 1:1570 RUSSELL DR
Practice Address - Street 2:APARTMENT E
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-8360
Practice Address - Country:US
Practice Address - Phone:216-526-5322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH358086163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse