Individual
JESSICA LYNN HACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027571
OH
Other
Enumeration date
11/05/2020
Last updated
01/28/2021
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