Individual
HEATHER HULALI JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8655 MARKET ST, MENTOR, OH 44060-4112
(440) 255-6400
(440) 255-3637
Mailing address
2940 E OVERLOOK RD, CLEVELAND HEIGHTS, OH 44118-2434
(602) 284-1702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029555
OH
Other
Enumeration date
08/28/2021
Last updated
11/29/2021
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