Individual
JESSICA N ANGELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
850 COLUMBIA RD STE 200, WESTLAKE, OH 44145-7215
(440) 808-1212
(440) 808-2060
Mailing address
850 COLUMBIA RD STE 200, WESTLAKE, OH 44145-7215
(440) 808-1212
(440) 808-0321
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.12438-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051781
—
OH
01
—
Q00545247
MEDICARE RAILROAD
OH
Enumeration date
07/12/2011
Last updated
01/19/2024
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