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Individual

JENNIFER LYNN PARRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CPNP

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 983-5691
Mailing address
5601 ABBYSHIRE DR, HUDSON, OH 44236-2683
(216) 272-4335

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN277332-COA1
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
COA.11606-NP
OH

Other

Enumeration date
07/20/2010
Last updated
10/11/2011
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