Ventura, Jessica Lynn
Ventura, Jessica Lynn is an individual health care provider with primary practice located at 2801 Martin Luther King Jr. Drive , Cleveland OH 44273-3815. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ventura, Jessica Lynn can be contacted via phone (216) 448-6182.Contact Information
Primary practice address
2801 Martin Luther King Jr. Drive
Cleveland OH 44273-3815
Phone: (216) 448-6182
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN. 351492 | Ohio |
Profile Details
NPI number | 1386905560 |
---|---|
LBN Legal business name | Ventura, Jessica Lynn |
Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 4th, 2012 |
Last updated | Mar 28th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386905560 | NPPES |
Ohio | MEDICAID | 0067946 |
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