Individual
JOAN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 E 22ND ST, CLEVELAND, OH 44115-3204
(216) 931-1300
Mailing address
2500 E 22ND ST, CLEVELAND, OH 44115-3204
(216) 931-1300
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.320559
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972553063
BUSINESS NPI
OH
05
—
2098359
—
OH
01
—
367022
MEDICARE UPIN
OH
Enumeration date
06/13/2017
Last updated
07/21/2022
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