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NPI Code Detail

MEDICARE: MONA AL JABR

MEDICARE: MONA AL JABR
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
1363LA2100XAcute Care Nurse Practitioner0032907OH

General Provider Information

NPI Number : 1801582614
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONA AL JABR
Provider Business Mailing Address
First Line : 2108 LANDER RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44124-4137
Country : US
Telephone Number : 313-312-6647
Fax Number :
Provider Business Practice Location Address
First Line : 2108 LANDER RD APT 124
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-4137
Country : US
Telephone Number : 313-312-6647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2023
Last Update Date : 04/14/2023

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