| Jasmine Petty-gooden, | |
|
711 W Wenger Rd Apt 151, Englewood, OH 45322-1913 | |
| (937) 668-3289 | |
| Not Available |
| Full Name | Jasmine Petty-gooden |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 711 W Wenger Rd Apt 151, Englewood, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982489399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN.186165 (Ohio) | Primary |
| 374U00000X | Home Health Aide | LPN.186165 (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Petty-gooden, 711 W Wenger Rd Apt 151, Englewood, OH 45322-1913 Ph: (937) 979-2354 | Jasmine Petty-gooden, 711 W Wenger Rd Apt 151, Englewood, OH 45322-1913 Ph: (937) 668-3289 |
Mrs. Dwana Shanee Woullard, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4675 Old Salem Rd, Englewood, OH 45322 Phone: 937-572-7131 | |
Magdaline Manyi Degoh, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 711 W Wenger Rd Apt 217, Englewood, OH 45322 Phone: 937-681-1211 | |
Ms. Susanne Marie Pierron, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 508 Wolf Ave, Englewood, OH 45322 Phone: 937-836-5132 | |
Mrs. Angelia Renea Parks, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6601 Morry Ct, Englewood, OH 45322 Phone: 937-272-0397 | |
Melissa C Gau, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4377 Gorman Ave, Englewood, OH 45322 Phone: 937-397-8131 | |
Richara Oliver, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 601 W Wenger Rd Apt 9, Englewood, OH 45322 Phone: 937-279-7603 | |
Mr. Cary Ray Camron, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4615 Dartford Rd, Englewood, OH 45322 Phone: 937-832-9977 Fax: 937-832-9977 |