Individual provider · Type 1 NPI

Jerret Kolesar, CNP

Psychiatric/Mental Health Nurse Practitioner · Warren, OH

NPI number 1104558840 Active

Practice location

1716 North Rd SE
Warren, OH 44484-2907

Mailing address

615 Angiline Dr
Boardman, OH 44512-6569

Other practice locations

  • 1212 Lake Ave, Ashtabula, OH 44004-2932 · (330) 539-5200

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN.CNP.0034674 (OH)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104558840

Jerret Kolesar, CNP's National Provider Identifier is 1104558840, issued on Jun 30, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Warren, OH. The record was last updated on Aug 27, 2025.