Jordaan Anthony Thomas-Simmons
Community Health Worker in Youngstown, OH. Individual provider (NPI-1).
NPI number1548750102
StatusActive
Last updated in NPPESMay 18, 2018
Details
- NPI
- 1548750102
- Entity type
- Individual (NPI-1)
- Name
- Jordaan Anthony Thomas-Simmons
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2018
- Last updated
- May 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
209 W Woodland AveYoungstown, OH 44502-1866
Phone 330-787-9180
Mailing address
209 W Woodland AveYoungstown, OH 44502-1866
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All 54 Community Health Worker providers in Youngstown · All 6,143 providers in Youngstown
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