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Individual

JENNIFER LYNNE CENNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN RN CNP

Contact information

Practice address
9685 CHILLICOTHE RD, KIRTLAND, OH 44094-8503
(440) 256-8100
(440) 256-8104
Mailing address
24701 EUCLID AVE, THIRD FLOOR BILLING SERVICES, EUCLID, OH 44117-1714
(440) 256-8100
(440) 256-8104

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
167299
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA. 12954-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0069265
OH
Enumeration date
12/09/2010
Last updated
04/29/2013
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