Individual
JENNIFER LYNNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-08369
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374306
ANTHEM
OH
05
—
2594456
—
OH
Enumeration date
01/27/2006
Last updated
03/30/2020
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