Individual
JENNIFER NICOLE RIVCHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
28100 CHAGRIN BLVD, WOODMERE, OH 44122-4522
(216) 831-1466
Mailing address
28100 CHAGRIN BLVD, WOODMERE, OH 44122-4522
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.16939-NP
OH
Other
Enumeration date
01/29/2015
Last updated
06/23/2021
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