Individual
MS. JENNIFER A HULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-2601
Mailing address
25751 LAKE RD, BAY VILLAGE, OH 44140-2559
(440) 227-9163
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11059-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052207
—
OH
01
—
P01013339
MEDICARE RAILROAD
OH
Enumeration date
04/01/2010
Last updated
04/24/2012
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