Individual
JESSICA SUE STOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4200
Mailing address
3333 BURNET AVE, ML 2001, CINCINNATI, OH 45229-3026
(513) 636-4408
(513) 636-7337
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.020015
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/20/2019
Last updated
01/31/2020
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