Individual
JONATHAN DAVID EASTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP-BC
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7080
Mailing address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA. 15769-NP
OH
363LA2100X
Acute Care Nurse Practitioner
COA. 15769-NP
OH
363LA2200X
Adult Health Nurse Practitioner
COA. 15769-NP
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
COA. 15769-NP
OH
363LG0600X
Gerontology Nurse Practitioner
COA. 15769-NP
OH
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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