Jazmone Davison, is a
Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities based in Canton, Ohio. Jazmone Davison is licensed to practice in * (Not Available) (license number ) and her current practice location is
4368 Dressler Rd Nw Ste 201b, Canton, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 284-2856.
NPI number for Jazmone Davison is 1730885419 and her current mailing address is Po Box 36302, Canton, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730885419.
Provider's Profile
| Full Name | Jazmone Davison |
|---|
| Gender | Female |
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| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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| Location | 4368 Dressler Rd Nw Ste 201b, Canton, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730885419
- Provider Enumeration Date: 02/03/2023
- Last Update Date: 02/03/2023
Medical Identifiers
Medical identifiers for Jazmone Davison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730885419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 374943 (Ohio) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Secondary |
| 320900000X | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jazmone Davison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jazmone Davison,
Po Box 36302,
Canton, OH 44735-6302
Ph: (330) 284-2856 | Jazmone Davison,
4368 Dressler Rd Nw Ste 201b,
Canton, OH 44718-2772
Ph: (330) 284-2856 |
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