Individual
MRS. KELLIE LINNE JARZEMBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,ACNP-BC
Contact information
Practice address
3700 PARK EAST DR STE 450, BEACHWOOD, OH 44122-4318
(668) 490-6928
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1232334
TX
363L00000X
Nurse Practitioner
Primary
15289
OH
363L00000X
Nurse Practitioner
2026005115
MO
363L00000X
Nurse Practitioner
209027334
IL
363L00000X
Nurse Practitioner
3-002715
AL
363L00000X
Nurse Practitioner
322153
AZ
363L00000X
Nurse Practitioner
4054007
KY
363L00000X
Nurse Practitioner
APRN11020801
FL
363L00000X
Nurse Practitioner
C-APN.0104342-C-NP
CO
363L00000X
Nurse Practitioner
SP035830
PA
Other
Enumeration date
10/21/2013
Last updated
05/13/2026
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