Provider Demographics
NPI:1356624001
Name:CURRY, JAKIRA SIMONE (STNA)
Entity type:Individual
Prefix:MISS
First Name:JAKIRA
Middle Name:SIMONE
Last Name:CURRY
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24451 LAKE SHORE BLVD
Mailing Address - Street 2:APT.1019
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-1272
Mailing Address - Country:US
Mailing Address - Phone:216-732-0725
Mailing Address - Fax:
Practice Address - Street 1:24451 LAKE SHORE BLVD
Practice Address - Street 2:APT.1019
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-1272
Practice Address - Country:US
Practice Address - Phone:216-732-0725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400967410809376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide