Maumburudze, Jessie

Maumburudze, Jessie is an individual health care provider with primary practice located at 2500 Metrohealth Dr , Cleveland OH 44109-1900. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Maumburudze, Jessie can be contacted via phone (216) 778-7800.

Contact Information

Primary practice address
2500 Metrohealth Dr Cleveland OH 44109-1900
Phone: (216) 778-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA 020248 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.020248 Ohio

Profile Details

NPI number 1902345069
LBN Legal business name Maumburudze, Jessie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2017
Last updated Nov 6th, 2023 - about 3 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 1902345069 NPPES
Ohio MEDICAID 2910854

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