Individual
JOSHUA ALLEN TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, AGNP-C
Contact information
Practice address
3611 PROSPECT AVE E, CLEVELAND, OH 44115-2703
(330) 958-2731
Mailing address
647 STAFFORD DR, TALLMADGE, OH 44278-2409
(330) 958-2731
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG06240111
OH
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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