Individual
JENNIFER LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 LAKESIDE AVE E, CLEVELAND, OH 44114-1158
(330) 610-3486
Mailing address
1001 LAKESIDE AVE E, CLEVELAND, OH 44114-1158
(330) 610-3486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
COA.18153-NP
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.18153
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147784
—
OH
Enumeration date
10/09/2015
Last updated
06/01/2023
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