Individual provider · Type 1 NPI

Jessica Marie Lally, CNP

Primary Care Nurse Practitioner · Westlake, OH

NPI number 1922722982 Active

Practice location

29000 Center Ridge Rd
Westlake, OH 44145-5219

Mailing address

3331 Tyler Dr
Brunswick, OH 44212-3727

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X0032437 (OH)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1922722982

Jessica Marie Lally, CNP's National Provider Identifier is 1922722982, issued on Oct 3, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Westlake, OH. The record was last updated on Oct 3, 2022.