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Individual

MS. JACQUELINE RENEE SLONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
262 W MAIN ST, AMELIA, OH 45102-1309
(513) 718-2260
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(513) 718-2260

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3015306
KY
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.025352
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3015306
KY LICENSE
KY
01
APRN.CNP.025352
OH LICENSE
OH
01
F06192861
AANP
Enumeration date
01/08/2020
Last updated
10/11/2023
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