Provider Demographics
NPI:1427932888
Name:CLINTON, BRIANNAH (LPN)
Entity type:Individual
Prefix:
First Name:BRIANNAH
Middle Name:
Last Name:CLINTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1085 WILBUR AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44301-1441
Mailing Address - Country:US
Mailing Address - Phone:330-351-7424
Mailing Address - Fax:
Practice Address - Street 1:1085 WILBUR AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44301-1441
Practice Address - Country:US
Practice Address - Phone:330-351-7424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH192992164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse