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NPI Code Detail

MEDICARE: JENNIFER ROOT CNP

MEDICARE:   JENNIFER  ROOT  CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner999742OH

General Provider Information

NPI Number : 1710356357
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ROOT CNP
Provider Business Mailing Address
First Line : 1615 N RIVER RD NE
Second Line : STE 1
City : WARREN
State : OH
Zip : 44483-2437
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-2090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2015
Last Update Date : 12/09/2025

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Directions to “ JENNIFER ROOT CNP” Practice Location

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