Individual
NICO JAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
3890 W 214TH ST, FAIRVIEW PARK, OH 44126-1271
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0031878
OH
Other
Enumeration date
07/21/2022
Last updated
08/15/2022
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