Provider Demographics
NPI:1508613258
Name:STURGEON, JAIMEE DAWN
Entity type:Individual
Prefix:
First Name:JAIMEE
Middle Name:DAWN
Last Name:STURGEON
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 1:401 ROTARY RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705-1213
Mailing Address - Country:US
Mailing Address - Phone:304-730-5578
Mailing Address - Fax:
Practice Address - Street 1:401 ROTARY RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-1213
Practice Address - Country:US
Practice Address - Phone:304-730-5578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide