Provider Demographics
NPI:1316598170
Name:SPRING, JILLIAN LEIGH (APRN-CNP)
Entity Type:Individual
Prefix:MISS
First Name:JILLIAN
Middle Name:LEIGH
Last Name:SPRING
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6835 BROADWAY AVE # 1009
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-1313
Mailing Address - Country:US
Mailing Address - Phone:216-957-1800
Mailing Address - Fax:216-957-1811
Practice Address - Street 1:6835 BROADWAY AVE RM 1009
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-1313
Practice Address - Country:US
Practice Address - Phone:216-957-1800
Practice Address - Fax:216-957-1811
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025058363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health