Laura Jane Jerome, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Cleveland, OH
NPI 1306348982 · NPPES record last updated Feb 28, 2018
Key facts
- NPI
- 1306348982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.022353 (OH)
- Practice address
- 18101 Lorain Ave
Cleveland, OH 44111-5612 - Phone
- (440) 213-7217
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180604001482 | OH | Practitioner - Nurse Practitioner | 4486919941 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.022353 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Hospital | Current |
Accepting new patients | |
| Fairview Hospital | Current |
Accepting new patients | |
| Cleveland Clinic Avon Hospital | Current |
Accepting new patients |
Locations
33300 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 686-0105
18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029
10654 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-1044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.022353 | OH | Yes |
Addresses
Primary practice location
18101 Lorain Ave
Cleveland, OH 44111-5612
Mailing address
715 Hammer CT
Elyria, OH 44035-3030
Phone (440) 366-6962
Other providers in Cleveland, OH
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- Gerald Jeromin
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- Byschelle Leone Jesberger
All providers in Cleveland, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.