Individual
JESSE W GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1150 N MAIN ST, MANSFIELD, OH 44903-9718
(740) 361-9355
Mailing address
1150 N MAIN ST, MANSFIELD, OH 44903-9718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0032256
OH
376K00000X
Nurse's Aide
401265240711
OH
Other
Enumeration date
07/20/2012
Last updated
05/07/2024
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