Provider Demographics
NPI:1467257352
Name:BURNS, JAKAIRA DANYALE
Entity type:Individual
Prefix:
First Name:JAKAIRA
Middle Name:DANYALE
Last Name:BURNS
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 1:918 LLOYD RD
Mailing Address - Street 2:
Mailing Address - City:WICKLIFFE
Mailing Address - State:OH
Mailing Address - Zip Code:44092-2336
Mailing Address - Country:US
Mailing Address - Phone:216-612-5174
Mailing Address - Fax:
Practice Address - Street 1:918 LLOYD RD
Practice Address - Street 2:
Practice Address - City:WICKLIFFE
Practice Address - State:OH
Practice Address - Zip Code:44092-2336
Practice Address - Country:US
Practice Address - Phone:216-612-5174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health