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Jeanine R Willis, CNP
Family Nurse Practitioner in Cleveland, Ohio
NPI 1356776975

Jeanine R Willis is a Family Nurse Practitioner based in Cleveland, OH and is specialized in Family. Jeanine R Willis practices in Cleveland, OH and has the professional credentials of CNP. The NPI Number for Jeanine R Willis is 1356776975 and holds a License No. COA.15100-NP (Ohio).

The current practice location address for Jeanine R Willis is 18099 Lorain Ave Ste 445, Cleveland, OH and can be reached out via phone at 440-886-1800.

Location: 18099 Lorain Ave Ste 445, Cleveland, OH, 44111-5610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356776975
Provider Name
Jeanine R Willis
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
18099 Lorain Ave Ste 445, Cleveland, OH, 44111-5610
Phone Number
440-886-1800
Fax Number
Provider Enumeration Date
09/13/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0096370 05 OH
institution
Provider Business Practice Location Address Details
Address
18099 Lorain Ave Ste 445
City
Cleveland
State
Ohio
Zip
44111-5610
Phone Number
440-886-1800
Fax Number
person
Provider Business Mailing Address Details
Address
18099 Lorain Ave Ste 445
City
Cleveland
State
Ohio
Zip
44111-5610
Phone Number
440-886-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA.15100-NP (Ohio)
Definition
Definition to come...
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