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Individual
JESSICA LYNN VESA
Active
Individual
JESSICA LYNN VESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.360816
OH
163W00000X
Registered Nurse
Primary
RN360816
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421475
—
OH
01
—
34-1706671
TAX ID
—
Enumeration date
10/02/2020
Last updated
02/22/2021
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