MRS. JENNIFER L ODOHERTY CNP NPI 1114017670

NPI Information

NPI: 1114017670
Provider Name: MRS. JENNIFER L ODOHERTY, CNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Organization: CLEVELAND CLINIC FOUNDATION

PECOS Registration: Yes

Address:
2500 METROHEALTH DR
CLEVELAND, OH
ZIP 44109
Phone: (216) 778-7800
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MRS. Jennifer L Odoherty, CNP is a women's health nurse practitioner in Cleveland, OH with 23 years of experience. MRS. Jennifer L Odoherty, CNP NPI is 1114017670. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:2001

The provider's business location address is:

2500 METROHEALTH DR
CLEVELAND, OH
ZIP 44109-900
Phone: (216) 778-7800

The NPI 1114017670 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 1/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	NP06781	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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