Individual
MRS. KARISSA ANN-LISICKY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-2203
(800) 223-2273
Mailing address
39424 DETROIT RD, AVON, OH 44011-2129
(440) 221-0881
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CNM07959
OH
Other
Enumeration date
05/03/2023
Last updated
06/15/2023
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