JILLIAN TAIT FETZNER


Address: 10685 Carnegie Ave, Cleveland, OH 44106
Phone: 2164457634

JILLIAN TAIT FETZNER (NPI# 1588060321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588060321
Entity Type Individual
Full Name JILLIAN TAIT FETZNER
Other Name JILLIAN TAIT JOHNSON
Credential NP-C
Practice Address 10685 Carnegie Ave
Cleveland
OH 44106
Practice Telephone 2164457634
Practice Fax Number 2164443474
Mailing Telephone 2164457634
Mailing Fax Number 2164443474
Enumeration Date 2014-11-05
Last Update Date 2019-02-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
COA16124 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0115025 05

Office Location

Street Address 10685 CARNEGIE AVE
City CLEVELAND
State OH
Zip Code 44106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538165626 Cleveland Foot and Ankle Clinic Clinic/Center 10685 Carnegie Ave, Cleveland, OH 44106-3018 2005-06-23
1114388386 Erin Michiko Daigle Nurse Practitioner 10685 Carnegie Ave, Cleveland, OH 44106 2016-03-15
1164702684 Melissa Ann Matteo Dietitian, Registered 10685 Carnegie Ave, Cleveland, OH 44112 2011-08-29
1649579178 Diana Isaacs Pharmacist 10685 Carnegie Ave, Cleveland, OH 44195-1501 2011-03-23
1104012111 Dawn Noe Dietitian, Registered 10685 Carnegie Ave, X20, Cleveland, OH 44106-3018 2007-09-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295347706 Adeeb Oweidat Anesthesiology 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 2020-08-18
1104434240 Bradly Miner Student in an Organized Health Care Education/Training Program Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 2020-07-15
1306466974 Ho Jun Lee Student in an Organized Health Care Education/Training Program 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 2020-04-23
1528687837 Shaleeka Cornelius Student in an Organized Health Care Education/Training Program 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 2020-04-16
1598393175 Mikdat Ulas Student in an Organized Health Care Education/Training Program 111000 Euclid Avenue, Cleveland, OH 44106 2020-03-30
1790335651 Michelle Clark Home Health Aide 1794 E 87th St, Cleveland, OH 44106 2019-09-12
1881246783 Oziel Valdez Sanchez Student in an Organized Health Care Education/Training Program 11900 Euclid Ave, Cleveland, OH 44106 2019-07-10
1487216842 Betina Griens Porto Dentist 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 2019-07-05
1407417140 Rebecca Petts Dentist 9601 Chester Ave, Cleveland, OH 44106 2019-06-24
1023677259 Moeen Al Weshah Student in an Organized Health Care Education/Training Program 9601 Chester Ave # 239j3, Cleveland, OH 44106 2019-06-11
Find all providers in zip 44106

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629694153 Laraine Elizabeth Tench Nurse Practitioner 9500 Euclid Ave # G110, Cleveland, OH 44195-0001 2020-06-20
1124578349 Nancy Kempke Nurse Practitioner 9500 Euclid Ave Fa20, Cleveland, OH 44195 2016-10-12
1356708911 Anne Debra Feldman Nurse Practitioner 9500 Euclid Ave # A31, Cleveland, OH 44195-0001 2016-01-26
1194131417 Stephanie S Daniels Nurse Practitioner 1730 W 25th Street, Cleveland, OH 44113-3108 2014-07-08
1073954103 Jessica Lauren Orleman Nurse Practitioner Cleveland Clinic Desk A90, 9500 Euclid Avenue, Cleveland, OH 44195-0001 2013-07-17
1366784902 Deneen M Abston Nurse Practitioner 9500 Euclid Ave # Desku10, Cleveland, OH 44195-0001 2013-03-21
1467793778 Teresa M Evans-guyton Nurse Practitioner 11201 Shaker Blvd Ste 240, Cleveland, OH 44104 2013-03-12
1174872543 Sarah Ann Blowers Nurse Practitioner 17876 St. Clair Avenue, Cleveland, OH 44110 2012-08-31
1609121045 Bridgett Ann Harr Nurse Practitioner 9500 Euclid Ave # T28, Cleveland, OH 44195-0001 2012-07-23
1093071458 Josephina Puskas Nurse Practitioner 2050 East 96 Th Street, Cleveland, OH 44195 2012-04-10
Find all providers in CLEVELAND

Competitor

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City CLEVELAND
Zip Code 44106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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