Individual
SARAH JEAN SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
9485 MENTOR AVENUE, SUITE 210, MENTOR, OH 44060
(440) 255-5571
(440) 205-5744
Mailing address
9485 MENTOR AVENUE, SUITE 210, MENTOR, OH 44060
(440) 255-5571
(440) 205-5744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.313899
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.17696
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146399
—
OH
Enumeration date
07/29/2015
Last updated
03/23/2022
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