Provider Demographics
NPI:1912177619
Name:WARMUS, JENNIFER ANN (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANN
Last Name:WARMUS
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:ANN
Other - Last Name:LAGUARDIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:ONE PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1062
Mailing Address - Country:US
Mailing Address - Phone:330-543-3500
Mailing Address - Fax:330-543-5001
Practice Address - Street 1:ONE PERKINS SQ
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1062
Practice Address - Country:US
Practice Address - Phone:330-543-3500
Practice Address - Fax:330-543-5001
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 315811163W00000X
OHNP-09616363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse