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NPI Code Detail

MEDICARE: MS. IESHA GRIFFIN

MEDICARE: MS. IESHA GRIFFIN
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
1171M00000XCase Manager/Care Coordinator2871101OH

General Provider Information

NPI Number : 1598612889
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. IESHA GRIFFIN
Provider Business Mailing Address
First Line : 12409 WATTERSON AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-4533
Country : US
Telephone Number : 216-647-7140
Fax Number :
Provider Business Practice Location Address
First Line : 13201 GRANGER RD STE 8
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-1979
Country : US
Telephone Number : 216-831-2255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2026
Last Update Date : 03/14/2026

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Directions to “ MS. IESHA GRIFFIN ” Practice Location

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