| Jennifer R Mizak, PNP | |
|
15201 Euclid Ave, East Cleveland, OH 44112-2803 | |
| (216) 541-5600 | |
| Not Available |
| Full Name | Jennifer R Mizak |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 15201 Euclid Ave, East Cleveland, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033208186 | NPI | - | NPPES |
| 2135373 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN173074 (Ohio) | Primary |
| Entity Name | Northeast Ohio Neighborhood Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1851302665 PECOS PAC ID: 5799756615 Enrollment ID: O20040804000672 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer R Mizak, PNP 15201 Euclid Ave, East Cleveland, OH 44112-2803 Ph: (216) 541-5600 | Jennifer R Mizak, PNP 15201 Euclid Ave, East Cleveland, OH 44112-2803 Ph: (216) 541-5600 |
Miss Tayesha Marie Johnson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13944 Euclid Ave, East Cleveland, OH 44112 Phone: 216-767-4242 | |
Octavia Lynnette Gabriel, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13944 Euclid Ave, East Cleveland, OH 44112 Phone: 216-767-4242 | |
Nicole Ramacciato, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14900 Private Drive, East Cleveland, OH 44112 Phone: 216-268-8385 Fax: 216-851-6634 | |
Brain U Nwaozuzu, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13944 Euclid Ave, East Cleveland, OH 44112 Phone: 216-767-4254 | |
Mrs. Ursula L Jackson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13944 Euclid Ave, East Cleveland, OH 44112 Phone: 216-767-4274 |