Individual provider · Type 1 NPI

Jennifer Lynn Basalla, MSN, APRN, AGNP-C

Nurse Practitioner · Cleveland, OH

NPI number 1780417352 Active

Practice location

1950 East 89th
Cleveland, OH 44106

Fax (216) 445-7013

Mailing address

9500 Euclid Ave U10
Cleveland, OH 44195

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN.CNP.0035303 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1780417352

Jennifer Lynn Basalla, MSN, APRN, AGNP-C's National Provider Identifier is 1780417352, issued on Aug 20, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cleveland, OH. The record was last updated on Jul 20, 2026.