Provider Demographics
NPI:1851819478
Name:KERMAN WILSON, EVE JENNIFER (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:EVE
Middle Name:JENNIFER
Last Name:KERMAN WILSON
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 ROCKLYN RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-2114
Mailing Address - Country:US
Mailing Address - Phone:216-470-7887
Mailing Address - Fax:
Practice Address - Street 1:2717 ROCKLYN RD
Practice Address - Street 2:
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-2114
Practice Address - Country:US
Practice Address - Phone:216-470-7887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-04
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0038941363LP0808X
MARN2316939163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health