Jennifer Cordray, NP-C
Nurse Practitioner, Gerontology in Mentor, OH. Individual provider (NPI-1).
NPI number1215553052
StatusActive
Last updated in NPPESSep 15, 2020
Details
- NPI
- 1215553052
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Cordray
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2020
- Certification date
- Sep 15, 2020
- Last updated
- Sep 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | APRN.CNP.0026862 | OH | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | APRN.CNP.0026862 | OH |
Practice location
5452 Grace DrMentor, OH 44060-1500
Phone 440-227-2000
Mailing address
5452 Grace DrMentor, OH 44060-1500
Phone 440-227-2000
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