IndividualActive
Jane Sidwell
NPI 1821508342 · Gerontology Clinical Nurse Specialist · Boardman, OH
Provider details
- NPI number
- 1821508342
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- APRN.CNS.16810 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8064 South Ave
Boardman, OH 44512-6153
Phone: (440) 523-9966
Fax: (216) 584-2895
Approximate (ZIP-level) locationGet directions
Mailing address
20265 Emery Rd
North Randall, OH 44128-4122
Registry dates
- Enumerated
- 2017-10-11
- Last updated
- 2017-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.