Individual
MRS. JENNIFER ANN BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N., F.N.P.-B.C.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-3083
(216) 445-3692
Mailing address
24135 BEECH LN, NORTH OLMSTED, OH 44070-1007
(216) 287-9522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA10036
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2944032
—
OH
Enumeration date
07/14/2008
Last updated
11/13/2009
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