Individual
JENNIFER J DETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
3333 BURNET AVE, ML 11013, CINCINNATI, OH 45229-3039
(513) 636-1422
(513) 636-3220
Mailing address
3333 BURNET AVE, ML 11013, CINCINNATI, OH 45229-3039
(513) 636-1422
(513) 636-3220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.08341
OH
Other
Enumeration date
04/10/2007
Last updated
03/14/2019
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