Individual
JENNIFER DICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
9500 EUCLID AVE # A10, CLEVELAND, OH 44195-0001
(216) 636-5342
Mailing address
9500 EUCLID AVE # A10, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.423460
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.0029511
OH
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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