Provider Demographics
NPI:1881435469
Name:WARD, JENNA (MS)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVENUE
Mailing Address - Street 2:CENTER FOR PERSONALIZED GENETIC HEALTHCARE C15
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195
Mailing Address - Country:US
Mailing Address - Phone:261-633-6129
Mailing Address - Fax:
Practice Address - Street 1:10524 EUCLID AVENUE
Practice Address - Street 2:CENTER FOR PERSONALIZED GENETIC HEALTHCARE C15
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:261-633-6129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH70.000864170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS