Individual
MRS. JESSICA LYNNE QUESENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2355 DERR RD, SPRINGFIELD, OH 45503-2439
(937) 629-0100
Mailing address
2355 DERR RD STE A, SPRINGFIELD, OH 45503-2439
(937) 629-0100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
353847
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024882
OH
Other
Enumeration date
08/12/2012
Last updated
08/06/2019
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