Individual
JULIANNE GROSSNICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1000
Mailing address
822 KUMHO DR, SUITE 202, FAIRLAWN, OH 44333-9297
(330) 576-0500
(330) 576-0467
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA-15658-NP
OH
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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