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Individual

MRS. JENNIFER ELIZABETH WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
2500 METROHEALTH DR, NEUROSCIENCES DEPARTMENT, CLEVELAND, OH 44109-1900
(216) 778-8822
Mailing address
2500 METROHEALTH DR, NEUROSCIENCES DEPARTMENT, CLEVELAND, OH 44109-1900
(216) 778-8822

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
325692
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
COA 17176-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0128184
OH
01
123553356
BWC
OH
Enumeration date
10/15/2014
Last updated
03/30/2017
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