Individual
JALINE WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13944 EUCLID AVE, EAST CLEVELAND, OH 44112-3804
(216) 767-4292
(216) 767-4274
Mailing address
13944 EUCLID AVE, EAST CLEVELAND, OH 44112-3804
(216) 767-4292
(216) 767-4274
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
COA.18835-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.18835
OH
Other
Enumeration date
03/02/2016
Last updated
11/05/2019
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