JILLIAN TABLACK (NPI# 1326677824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326677824 |
Entity Type | Individual |
Full Name | JILLIAN TABLACK |
Other Name | JILLIAN BECK |
Credential | LPN |
Practice Address |
2737 Youngstown Rd Se Warren OH 44484-5002 |
Practice Telephone | 3303698022 |
Mailing Telephone | 3303698022 |
Enumeration Date | 2020-04-06 |
Last Update Date | 2020-04-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 158024 | OH | Nursing Service Providers |
Street Address |
2737 YOUNGSTOWN RD SE |
City | WARREN |
State | OH |
Zip Code | 44484-5002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124293352 | William Theron Aley-byrne | Social Worker | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2008-04-29 |
1750998035 | Robert Bennett | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-09-30 |
1073120671 | Sheena Ahmed | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-09-28 |
1073124368 | Justin Wilcox | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-08-11 |
1497372809 | Justin Dietrich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-07-01 |
1487270872 | Amber Peterson | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-06-22 |
1932723095 | Kristina Mihalov | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-06-04 |
1477177145 | Tori Clay | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-05-29 |
1386265197 | Mary Ann Stewart | Licensed Practical Nurse | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-05-04 |
1215562707 | Thomas Radabaugh | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-03-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
Find all providers in zip 44484 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437788536 | Kathy Diane Garland | Licensed Practical Nurse | 3805 Lyntz Townline Rd Sw, Warren, OH 44481-9213 | 2020-04-02 |
1861026395 | Bianca Symone-raveen Morris | Licensed Practical Nurse | 24629 Berry Ave, Warren, MI 48089-2170 | 2020-02-24 |
1932741451 | Concraigretta Jackson | Licensed Practical Nurse | 21124 Behrendt Ave, Warren, MI 48091-2774 | 2019-10-16 |
1417516170 | Jasmin Marie Dahl | Licensed Practical Nurse | 159 Linden Ave Se, Warren, OH 44483-5921 | 2019-06-06 |
1043877368 | Jamie Ryan | Licensed Practical Nurse | 687 Melwood Dr Ne, Warren, OH 44483-4437 | 2019-05-22 |
1164911244 | Keenan Tenant | Licensed Practical Nurse | 28241 Gilbert Dr, Warren, MI 48093-2625 | 2018-05-04 |
1710474820 | Courtney Mabins | Licensed Practical Nurse | 21135 La Salle Blvd, Warren, MI 48089-3414 | 2018-04-16 |
1003334889 | Stephanie T Turuck | Licensed Practical Nurse | 1900 Sandpiper Trl Se, Warren, OH 44484-5712 | 2017-08-31 |
1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
1386178473 | Theresa Mccoy | Licensed Practical Nurse | 13029 Georgiana Ave, Warren, MI 48089-3279 | 2017-04-14 |
Find all providers in WARREN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.