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NPI Code Detail

MEDICARE: JENNIFER L CRUMEDY STNA

MEDICARE:   JENNIFER L CRUMEDY  STNA
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
1376K00000XNurse's Aide402094680718

General Provider Information

NPI Number : 1558018986
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER L CRUMEDY STNA
Provider Business Mailing Address
First Line : 4060 E 127TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-4738
Country : US
Telephone Number : 216-254-0242
Fax Number :
Provider Business Practice Location Address
First Line : 4060 E 127TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-4738
Country : US
Telephone Number : 216-254-0242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2022
Last Update Date : 03/06/2022

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Directions to “ JENNIFER L CRUMEDY STNA” Practice Location

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