Individual
JACKOLYN CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
230 QUADRAL DR STE B, WADSWORTH, OH 44281-8375
(330) 336-2800
Mailing address
294 BELLVIEW CT, WADSWORTH, OH 44281-8384
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.023796
OH
Other
Enumeration date
10/16/2018
Last updated
12/04/2019
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