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NPI Code Detail

MEDICARE: JENNIFER J DOLLY APRN-CNM

MEDICARE:   JENNIFER J DOLLY  APRN-CNM
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
1367A00000XAdvanced Practice MidwifeAPRN.CNM019438OH
2367A00000XAdvanced Practice MidwifeAPRN.CNM.019438OH

General Provider Information

NPI Number : 1316562663
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER J DOLLY APRN-CNM
Provider Business Mailing Address
First Line : 8457 SUMMER RD
Second Line :
City : MACEDONIA
State : OH
Zip : 44056-1717
Country : US
Telephone Number : 330-807-7439
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-3834
Country : US
Telephone Number : 330-807-7439
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2020
Last Update Date : 11/07/2023

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Directions to “ JENNIFER J DOLLY APRN-CNM” Practice Location

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