Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | APRN.CNP.023525 | OH |
NPI | 1093298689 |
---|---|
Provider Name | Jennifer Emrick |
First Address | Cleveland, OH 44106-1716 |
Second Address | Beachwood, OH 44122-4482 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2018 |
Last Update Date | 12/01/2021 |