Individual
MRS. JILL LYNN BUTTOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-2609
(216) 538-5164
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-2609
(216) 538-5164
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN.319031
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015002406
ANCC- AGACNP
OH
01
—
APRN.CNP.17738
APRN
OH
Enumeration date
06/04/2015
Last updated
03/07/2023
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