Individual provider · Type 1 NPI

Jennifer Rose Waiters, BC-ACPNP, BC-NNP

Pediatric Nurse Practitioner · Cleveland, OH

NPI number 1639475866 Active

Practice location

9500 Euclid Ave
Cleveland, OH 44195-1716

Call (216) 445-1580 Map

Fax (216) 445-3692

Mailing address

1572 Laclede Rd
South Euclid, OH 44121-3012

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XCOA12084-NP (OH)
Neonatal Nurse Practitioner 363LN0000XCOA12084-NP (OH)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1639475866

Jennifer Rose Waiters, BC-ACPNP, BC-NNP's National Provider Identifier is 1639475866, issued on Feb 6, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Cleveland, OH. The record was last updated on Oct 6, 2022.