Individual
JONDRA DIANNE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BSN, RN
Contact information
Practice address
3800 VICTORY PKWY UNIT 1, CINCINNATI, OH 45207-1092
(513) 745-3802
Mailing address
8105 TIMBERTREE WAY, WEST CHESTER, OH 45069-1605
(937) 776-2685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
254692
OH
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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