Provider Demographics
NPI:1972989226
Name:GEORGE, JOSIE (CNP)
Entity type:Individual
Prefix:MS
First Name:JOSIE
Middle Name:
Last Name:GEORGE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:JOSIE
Other - Middle Name:
Other - Last Name:BELLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:20800 HARVARD RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HIGHLAND HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7249
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-983-5636
Practice Address - Fax:216-201-5152
Is Sole Proprietor?:No
Enumeration Date:2015-08-09
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 267944163W00000X
OHCOA 16929-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0140894Medicaid
OH0140894Medicaid