Individual
MRS. JERRIE L PELLEGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BS
Contact information
Practice address
532 MAXWELL AVE, CINCINNATI, OH 45219
(513) 559-2933
(513) 559-2973
Mailing address
1162 CAPTAINS BRG, CENTERVILLE, OH 45458-5709
(513) 407-0027
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN2627779
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2627779
OH
Other
Enumeration date
02/22/2018
Last updated
09/05/2018
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