Goellner, Jennifer

Goellner, Jennifer is an sole proprietor health care provider with primary practice located at 445 W Liberty St Ste 226 , Medina OH 44256-2265. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Goellner, Jennifer can be contacted via phone (234) 802-9180.

Contact Information

Primary practice address
445 W Liberty St Ste 226 Medina OH 44256-2265
Phone: (234) 802-9180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.0028971 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0028971 Ohio

Profile Details

NPI number 1235521089
LBN Legal business name Goellner, Jennifer
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2015
Last updated May 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235521089 NPPES
Ohio MEDICAID 444774
Ohio Other 302487

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