Individual
MRS. JACQUELYNN R MCCONNAUGHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 ROMBACH AVE, WILMINGTON, OH 45177-2099
(937) 383-1040
Mailing address
229 NORTH ST, GREENFIELD, OH 45123-1333
(937) 509-0542
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0036944
OH
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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