Individual provider · Type 1 NPI
Jenna Dibernardo
Family Nurse Practitioner · Cleveland, OH
NPI number
1992405534
Active
Practice location
9500 Euclid Ave
Cleveland, OH 44195-0002
Mailing address
1363 Brockley Ave
Lakewood, OH 44107-2440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | APRN.CNP.0033392 (OH) |
| Family Nurse Practitioner Primary | 363LF0000X | APRN.CNP.0033392 (OH) |
Family Nurse Practitioner: Definition to come...
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About NPI 1992405534
Jenna Dibernardo's National Provider Identifier is 1992405534, issued on Mar 2, 2023. 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 28, 2023.