Individual
JESSICA F NIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 SYCAMORE LINE, SANDUSKY, OH 44870-4029
(419) 625-5269
Mailing address
1200 SYCAMORE LINE, SANDUSKY, OH 44870-4029
(419) 625-5269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.19168-NP
OH
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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