Individual
JESSICA A GUMUCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-2811
(216) 444-8078
(216) 636-2634
Mailing address
33355 HEALTH CAMPUS BLVD,, AVON, OH 44011-4404
(216) 445-8442
(216) 636-2634
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP.8880
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.021264
OH
Other
Enumeration date
11/09/2007
Last updated
07/21/2022
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