Individual
JENNIFER STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
16888 HARVARD AVE, CLEVELAND, OH 44128-2208
(216) 810-7159
(216) 920-6286
Mailing address
PO BOX 746071, ATLANTA, GA 30374-6071
(312) 733-9730
(733) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.16877-NP
OH
Other
Enumeration date
02/05/2015
Last updated
12/02/2020
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