Individual
JENNALEE CHAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
33 NORTH AVE, TALLMADGE, OH 44278-1925
(330) 344-3990
(330) 634-9433
Mailing address
3420 WOOSTER RD, 309, ROCKY RIVER, OH 44116-4174
(330) 207-4121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.16982NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091231
PARTNERS PHYSICIAN GROUP MEDICAID GROUP # - URGENT CARES
OH
05
—
0125272
—
OH
01
—
1164814414
PARTNERS PHYSICIAN GROUP TYPE 2 NPI # - HWE
OH
01
—
1992138028
PARTNERS PHYSICIAN GROUP TYPE 2 NPI # - URGENT CARES
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
03/25/2015
Last updated
04/18/2016
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