Individual
CHARLES JASON NOVINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
410 KELLYANN CT, WADSWORTH, OH 44281-8467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.025825
OH
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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