Provider Demographics
NPI:1205654043
Name:CHITESTER, JEANE SCHERILLE (RN)
Entity type:Individual
Prefix:
First Name:JEANE
Middle Name:SCHERILLE
Last Name:CHITESTER
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 1:4221 CLOVERHILL ST SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44706-3941
Mailing Address - Country:US
Mailing Address - Phone:330-481-8578
Mailing Address - Fax:
Practice Address - Street 1:4221 CLOVERHILL ST SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44706-3941
Practice Address - Country:US
Practice Address - Phone:330-481-8578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN425035163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse