Provider Demographics
NPI:1669545232
Name:SOLAIMAN, JERI SUE (RN)
Entity type:Individual
Prefix:MS
First Name:JERI
Middle Name:SUE
Last Name:SOLAIMAN
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 1:10123 SAILWINDS BLVD S
Mailing Address - Street 2:UNIT L-101
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33773-2368
Mailing Address - Country:US
Mailing Address - Phone:614-309-5208
Mailing Address - Fax:727-398-6318
Practice Address - Street 1:10123 SAILWINDS BLVD S
Practice Address - Street 2:UNIT L-101
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-2368
Practice Address - Country:US
Practice Address - Phone:614-309-5208
Practice Address - Fax:727-398-6318
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 308705163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2228968Medicaid