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Individual

JEANNE STOWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
250 S CHESTNUT ST STE 16, RAVENNA, OH 44266-3031
(216) 682-5704
Mailing address
485 SNAVELY RD, RICHMOND HTS, OH 44143-2747
(216) 402-6194

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN364132
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.022591
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0394421
OH
Enumeration date
09/07/2010
Last updated
11/17/2021
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