Individual
JESSICA KNEZEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18901 LAKE SHORE BLVD, EUCLID, OH 44119-1078
(440) 503-2403
Mailing address
18901 LAKE SHORE BLVD, EUCLID, OH 44119-1078
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0028109
OH
Other
Enumeration date
02/15/2021
Last updated
11/26/2021
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