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Individual
JESSICA NICOLE POE
Active
Individual
JESSICA NICOLE POE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.18141
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.18141
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000965284
ANTHEM
OH
05
—
0144993
—
OH
Enumeration date
09/09/2015
Last updated
10/12/2023
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