Individual
MRS. JILLIAN BLAIR CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9500 EUCLID AVE, A50, CLEVELAND, OH 44195-0001
(216) 444-9606
Mailing address
9500 EUCLID AVE, A50, CLEVELAND, OH 44195-0001
(216) 444-9606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.359991-1
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.18122
OH
Other
Enumeration date
10/05/2015
Last updated
02/20/2018
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