Healthcare Provider Details

I. General information

NPI: 1356572200
Provider Name (Legal Business Name): JESSICA NICOLE FRIENT R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2009
Last Update Date: 07/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PERKINS SQ MYELO CLINIC SUITE 4400
AKRON OH
44308-1063
US

IV. Provider business mailing address

ONE PERKINS SQUARE MYELO CLINIC SUITE 4400
AKRON OH
44308
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-5066
  • Fax:
Mailing address:
  • Phone: 330-543-5066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN. 327441
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: