Individual
JONATHAN M EARL
Active
Individual
JONATHAN M EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.16230-NP
OH
363LG0600X
Gerontology Nurse Practitioner
COA.16230-NP
OH
363LP2300X
Primary Care Nurse Practitioner
COA.16230-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114203
—
OH
01
—
12753046
CAQH
—
01
—
4176914
AETNA
OH
01
—
QMP000004814954
MOLINA
OH
Enumeration date
10/08/2014
Last updated
03/26/2020
Update your record
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