Provider Demographics
NPI:1982175204
Name:POINTER, JO ANN
Entity Type:Individual
Prefix:MS
First Name:JO
Middle Name:ANN
Last Name:POINTER
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 1:8102 STONEFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-6334
Mailing Address - Country:US
Mailing Address - Phone:813-818-8163
Mailing Address - Fax:813-818-9154
Practice Address - Street 1:8102 STONEFIELD WAY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-6334
Practice Address - Country:US
Practice Address - Phone:813-818-8163
Practice Address - Fax:813-818-9154
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant