| Doctor Name: | MS. JENNIFER COLWILL |
| NPI Number: | 1609293281 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, APRN |
| License Number: | COA 10449-NS |
| Business Practice Address: | 253 E 326th St Willowick, OH - 440953238 |
| Business Phone Number: | 4406670193 |
| Business Fax Number: | |
| Mailing Address: | 253 E 326th St, WILLOWICK |
| State: | OH |
| Postal Code: | 440953238 |
| Phone Number: | 4406670193 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2014 |
| NPI Last Update Date: | 03/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2100X |
| License Number: | COA 10449-NS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |