Individual
MRS. JENNA L NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
14440 CEDAR RD, CLEVELAND, OH 44121-3329
(216) 381-8726
Mailing address
14440 CEDAR RD, CLEVELAND, OH 44121-3329
(216) 381-8726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209010434
IL
363LF0000X
Family Nurse Practitioner
APRN.CNP.17871
OH
363LF0000X
Family Nurse Practitioner
Primary
NP-17871
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041380712
STATE OF ILLINOIS (RN LICENSE)
IL
Enumeration date
07/15/2013
Last updated
09/21/2021
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