Provider Demographics
NPI:1942903760
Name:JASINOSKI, GRACE ERIN
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:ERIN
Last Name:JASINOSKI
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 1:756 BRAMBLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-9107
Mailing Address - Country:US
Mailing Address - Phone:513-503-3316
Mailing Address - Fax:
Practice Address - Street 1:756 BRAMBLEWOOD DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-9107
Practice Address - Country:US
Practice Address - Phone:513-503-3316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker