Individual
JOSCELYN L GREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2726 FULTON DR NW, CANTON, OH 44718-3506
(330) 455-5011
(330) 588-7127
Mailing address
2726 FULTON DR NW, CANTON, OH 44718-3506
(330) 455-5011
(330) 588-7127
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP11660
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3110458
—
OH
Enumeration date
12/07/2010
Last updated
05/12/2020
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