Individual provider · Type 1 NPI
Jill Kandrac
Family Nurse Practitioner · Cleveland, OH
NPI number
1215399118
Active
Practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
5355 Chickadee Ln
Lyndhurst, OH 44124-2866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | COA 18892-NP (OH) |
Family Nurse Practitioner: Definition to come...
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About NPI 1215399118
Jill Kandrac's National Provider Identifier is 1215399118, issued on Mar 22, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cleveland, OH. The record was last updated on Mar 22, 2016.