Provider Demographics
NPI:1821503384
Name:GRIFFIN, SHEKINAH S
Entity Type:Individual
Prefix:MISS
First Name:SHEKINAH
Middle Name:S
Last Name:GRIFFIN
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 1:1901 VIENNA WOODS DR APT 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-6088
Mailing Address - Country:US
Mailing Address - Phone:513-413-5083
Mailing Address - Fax:
Practice Address - Street 1:1044 PURCELL AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45205-1914
Practice Address - Country:US
Practice Address - Phone:513-413-5083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-06
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400897680409376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide