Organization
CRU CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY SWISHER CNP (NURSE PRACTITIONER)
(419) 989-3180
Entity
Organization
Contact information
Practice address
2293 VILLAGE PARK CT, ONTARIO, OH 44906-1167
(419) 775-5457
(866) 500-5148
Mailing address
2293 VILLAGE PARK CT, ONTARIO, OH 44906-1167
(419) 775-5457
(866) 500-5148
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0412012
—
OH
Enumeration date
01/17/2021
Last updated
02/20/2023
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