Individual
JESSICA A. ROLFES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 DOWELL AVE, BELLEFONTAINE, OH 43311
(937) 593-5437
(937) 593-0110
Mailing address
118 DOWELL AVE, BELLEFONTAINE, OH 43311-2305
(937) 593-5437
(937) 593-0110
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
COA.19204-NP
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.19204
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184517
—
OH
Enumeration date
08/28/2016
Last updated
06/11/2018
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