Smith, Jennifer Lynne

Smith, Jennifer Lynne is an individual health care provider with primary practice located at 10701 East Blvd , Cleveland OH 44106-1702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Jennifer Lynne can be contacted via phone (216) 791-3800.

Contact Information

Primary practice address
10701 East Blvd Cleveland OH 44106-1702
Phone: (216) 791-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP-08369 Ohio

Profile Details

NPI number 1821069931
LBN Legal business name Smith, Jennifer Lynne
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Mar 30th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821069931 NPPES
Ohio Other 000000374306 ANTHEM
Ohio MEDICAID 2594456 ANTHEM

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