Provider Demographics
NPI:1275713091
Name:KALMAN, JEANIENE MARIE (CNP)
Entity Type:Individual
Prefix:MRS
First Name:JEANIENE
Middle Name:MARIE
Last Name:KALMAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MS
Other - First Name:JEANIENE
Other - Middle Name:MARIE
Other - Last Name:MARIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4041 NORTHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7001
Mailing Address - Country:US
Mailing Address - Phone:216-464-9100
Mailing Address - Fax:216-420-7870
Practice Address - Street 1:4041 NORTHFIELD RD
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-7001
Practice Address - Country:US
Practice Address - Phone:216-464-9100
Practice Address - Fax:216-420-7870
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH280671163W00000X
OH07226363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse