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Individual

JENNELL LEE BORYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-6015
(330) 344-6820
Mailing address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-6015
(330) 344-6820

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-325899-COA1
OH
363L00000X
Nurse Practitioner
Primary
COA-12650-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0073446
OH
01
0454744
AKRON GENERAL INTERNAL MEDICINE CENTER OF AKRON MEDICAID #
OH
01
1821035940
AKRON GENERAL INTERNAL MEDICINE CENTER OF AKRON TYPE 2 NPI #
OH
01
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
3600271
AKRON GENERAL INTERNAL MEDICINE CENTER OF AKRON MEDICARE GROUP #
OH
Enumeration date
10/05/2011
Last updated
07/24/2014
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