Individual
JENNA FLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8185 WASHINGTON ST, CHAGRIN FALLS, OH 44023-4574
(440) 543-3371
Mailing address
4444 HABERSHAM LN S, RICHMOND HTS, OH 44143-2631
(330) 840-8565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0030930
OH
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.0030930
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0030930
OH
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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