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General NPI Number Information
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NPI Number | 1093306839
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Entity Type | Individual
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Provider Name | JENNIFER GELSKE CNP
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Gender | Female
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 41201 SCHADDEN RD
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City | ELYRIA
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State | OH
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Zip | 44035-2249
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Country | US
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Telephone | 440-324-0400
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Fax | 440-324-0441
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Provider Business Mailing Address
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Address Line | 37559 AMBER WAY
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City | NORTH RIDGEVILLE
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State | OH
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Zip | 44039-4821
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Country | US
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Telephone | 216-469-2134
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0028341
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License Number State | OH
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