Individual
JACQUELYN M GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9500 EUCLID AVE # E1-001, CLEVELAND, OH 44195-2433
(216) 444-8486
Mailing address
190 CHESTER AVE, WADSWORTH, OH 44281-8363
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.12510-NP
OH
Other
Enumeration date
08/30/2011
Last updated
12/03/2019
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