Individual
JENNA RENEE KIRBY ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 S ARLINGTON ST UNIT 38, AKRON, OH 44306-3771
(330) 724-5471
Mailing address
PO BOX 933132, CLEVELAND, OH 44193-0001
(330) 724-5471
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-10306
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2551671
PPG MEDICAID GROUP #
OH
05
—
2952701
—
OH
01
—
9338635
MEDICARE GROUP #
OH
Enumeration date
10/30/2008
Last updated
12/13/2024
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