Individual provider · Type 1 NPI
Jordan Quallen, DNP
Critical Care Pediatric Nurse Practitioner · Cleveland, OH
NPI number
1114837440
Active
Practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
12106 Detroit Ave
Lakewood, OH 44107-3019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | APRN.CNP.0043240 (OH) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
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About NPI 1114837440
Jordan Quallen, DNP's National Provider Identifier is 1114837440, issued on Sep 9, 2026. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Cleveland, OH. The record was last updated on Sep 9, 2026.