Individual
JENNA L BIRDSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15 BISHOP DR, WESTERVILLE, OH 43081-2275
(614) 392-5933
(614) 474-1515
Mailing address
651 SOUTH LIMESTONE STREET, SPRINGFIELD, OH 45505
(937) 324-1111
(937) 525-4541
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
COA11694NP
OH
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN.CNS.11758
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3134147
—
OH
Enumeration date
09/13/2010
Last updated
03/08/2023
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