Costello, Jennifer

Costello, Jennifer is an individual health care provider with primary practice located at 5812 Ridge Rd , Parma OH 44129-3161. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Costello, Jennifer can be contacted via phone (440) 669-6384.

Contact Information

Primary practice address
5812 Ridge Rd Parma OH 44129-3161
Phone: (440) 669-6384
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.026002 Ohio

Profile Details

NPI number 1538705694
LBN Legal business name Costello, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2019
Last updated Nov 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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