Jaya Simone Sharpe
Technician, Attendant Care Provider in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1124882964
StatusActive
Last updated in NPPESFeb 12, 2024
Details
- NPI
- 1124882964
- Entity type
- Individual (NPI-1)
- Name
- Jaya Simone Sharpe
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2024
- Certification date
- Feb 12, 2024
- Last updated
- Feb 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
1552 Sweet St NeGrand Rapids, MI 49505-5458
Phone 616-589-6628
Mailing address
1552 Sweet St NeGrand Rapids, MI 49505-5458
Phone 616-589-6628
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