Provider Demographics
NPI:1679269468
Name:EDDINGS, JASMINE SHEREE
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:SHEREE
Last Name:EDDINGS
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 1:680 E 99TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44108-4103
Mailing Address - Country:US
Mailing Address - Phone:216-413-1041
Mailing Address - Fax:
Practice Address - Street 1:680 E 99TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44108-4103
Practice Address - Country:US
Practice Address - Phone:216-413-1041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health