Individual
MRS. JENNALEE DANIELLE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
6480 ROCKSIDE WOODS BLVD S STE 330, INDEPENDENCE, OH 44131-2222
(855) 490-9434
Mailing address
225 W WASHINGTON ST STE 1700, CHICAGO, IL 60606-3404
(855) 490-9434
(216) 238-9526
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.0032589
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0032589
OH
Other
Enumeration date
03/30/2023
Last updated
03/06/2024
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