Doctor Name: | JENNIFER LYNNE CENNA |
NPI Number: | 1902109135 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN RN CNP |
License Number: | 167299 |
Business Practice Address: | 9685 Chillicothe Rd Kirtland, OH - 440948503 |
Business Phone Number: | 4402568100 |
Business Fax Number: | 4402568104 |
Mailing Address: | 24701 Euclid Ave, Third Floor Billing Services EUCLID |
State: | OH |
Postal Code: | 441171714 |
Phone Number: | 4402568100 |
Fax Number: | 4402568104 |
NPI Enumeration Date: | 12/09/2010 |
NPI Last Update Date: | 04/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | 167299 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |