Individual
ANGELA JEANETTE JAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
3637 MEDINA RD, MEDINA, OH 44256-9654
(330) 802-3868
Mailing address
3637 MEDINA RD, MEDINA, OH 44256-9654
(330) 802-3868
(330) 334-2404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2476754
MN
163W00000X
Registered Nurse
RN293899
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
NP09997
OH
363LP2300X
Primary Care Nurse Practitioner
APRN9487904
FL
Other
Enumeration date
03/13/2008
Last updated
10/04/2020
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