Healthcare Provider Details

I. General information

NPI: 1710824057
Provider Name (Legal Business Name): JENNA RENAE CESTA MSN, APRN, AGPCNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E SUMMIT ST
KENT OH
44242-0001
US

IV. Provider business mailing address

3063 IVY HILL CIR UNIT D
CORTLAND OH
44410-9357
US

V. Phone/Fax

Practice location:
  • Phone: 330-672-7930
  • Fax:
Mailing address:
  • Phone: 330-980-6254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberLE-00062608
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: