Individual
MRS. JENNIFER A MIKULUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1922
Mailing address
2106 ARTHUR AVE, LAKEWOOD, OH 44107-5739
(216) 521-7964
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN 235249
OH
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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