# MS. JONISTA M. PEEBLES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1558646760
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 23550895 | OH | — |
| 207P00000X | Emergency Medicine Physician | 23550895 | OH | — |
| 207Q00000X | Family Medicine Physician | 23550895 | OH | Yes |
| 207R00000X | Internal Medicine Physician | 23550895 | OH | — |
| 208D00000X | General Practice Physician | 23550895 | OH | — |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 10/19/2011