Individual
JENNIFER CORDRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5452 GRACE DR, MENTOR, OH 44060-1500
(440) 227-2000
Mailing address
5452 GRACE DR, MENTOR, OH 44060-1500
(440) 227-2000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0026862
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.0026862
OH
Other
Enumeration date
06/17/2020
Last updated
09/15/2020
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