DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. KELLIE LINNE JARZEMBAK APRN,ACNP-BC

MEDICARE: MRS. KELLIE LINNE JARZEMBAK APRN,ACNP-BC
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
1363L00000XNurse Practitioner15289OH
2363L00000XNurse Practitioner209027334IL
3363L00000XNurse Practitioner3-002715AL
4363L00000XNurse PractitionerC-APN.0104342-C-NPCO
5363L00000XNurse Practitioner322153AZ
6363L00000XNurse PractitionerAPRN11020801FL

General Provider Information

NPI Number : 1538597000
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELLIE LINNE JARZEMBAK APRN,ACNP-BC
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 3700 PARK EAST DR STE 450
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-4318
Country : US
Telephone Number : 668-490-6928
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2013
Last Update Date : 12/10/2025

Similar Medicare Providers

1679085435 — ANNA AUSTIN SANDERS CRNP
Practice Location Address:
3700 PARK EAST DR STE 450
BEACHWOOD, OH
44122-4318
Practice Phone: 866-849-0692
Practice Fax: 888-973-8821
1346921988 — BRITTANY MARIE WILLIAMS CNP
Practice Location Address:
3700 PARK EAST DR STE 450
BEACHWOOD, OH
44122-4318
Practice Phone: 866-849-0692
Practice Fax:
1932854197 — SARAH KAMINSKI APRN-FNP-C
Practice Location Address:
3700 PARK EAST DR STE 450
BEACHWOOD, OH
44122-4318
Practice Phone: 866-849-0692
Practice Fax: 888-973-8821
1902309826 — ALLYSSA MICHELLE DELUCA APRN, FNP-C
Practice Location Address:
3700 PARK EAST DR STE 450
BEACHWOOD, OH
44122-4318
Practice Phone: 866-849-0692
Practice Fax: 888-973-8821
1881349470 — MRS. CASSANDRA EVE REMO APRN, FNP-C
Practice Location Address:
3700 PARK EAST DR STE 450
BEACHWOOD, OH
44122-4318
Practice Phone: 866-849-0692
Practice Fax:
1821558834 — KAITLIN BURG APRN, FNP-C
Practice Location Address:
3700 PARK EAST DR STE 450
BEACHWOOD, OH
44122-4318
Practice Phone: 866-849-0692
Practice Fax:

Directions to “ MRS. KELLIE LINNE JARZEMBAK APRN,ACNP-BC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.