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Individual

MRS. JENNIFER LORRAINE FUSCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CRNP

Contact information

Practice address
15303 STATE ROUTE 170, EAST LIVERPOOL, OH 43920-9585
(330) 385-1000
(330) 385-3588
Mailing address
4047 CASCADE DRIVE, YOUNGSTOWN, OH 44511
(330) 303-8234

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.397483
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.021505
OH

Other

Enumeration date
05/26/2017
Last updated
07/21/2022
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