Individual provider · Type 1 NPI
David Jedlicka
Acute Care Nurse Practitioner · Cleveland, OH
NPI number
1871200428
Active
Practice location
10701 East Blvd
Cleveland, OH 44106-1702
Mailing address
619 Lipke Ct
Medina, OH 44256-4099
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | APRN.CNP.0031500 (OH) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1871200428
David Jedlicka's National Provider Identifier is 1871200428, issued on Nov 2, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Cleveland, OH. The record was last updated on Nov 2, 2022.