Provider Demographics
NPI:1952680654
Name:HARTFIELD, JOVON EVAN (LPN)
Entity Type:Individual
Prefix:MR
First Name:JOVON
Middle Name:EVAN
Last Name:HARTFIELD
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-1574
Mailing Address - Country:US
Mailing Address - Phone:419-450-5581
Mailing Address - Fax:
Practice Address - Street 1:2122 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-1574
Practice Address - Country:US
Practice Address - Phone:419-450-5581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH138770164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse