Individual
MRS. JACQUELINE WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 229-2327
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN256232
OH
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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