Individual
MRS. JESSICA LYNN LORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1523 WALNUT ST, SUITE 1, COSHOCTON, OH 43812-2289
(740) 622-3016
Mailing address
340 OXFORD ST, SUITE 1, DOVER, OH 44622-1965
(740) 622-3016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161967
—
OH
01
—
H447140
MEDICARE PTAN
OH
Enumeration date
02/16/2016
Last updated
03/06/2017
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