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Individual

JESSICA LEE DEWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, AGACNP-BC, CCRN

Contact information

Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3998
(614) 566-5000
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0029395
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN.CNP.0029395
OHIO BOARD OF NURSING
OH
Enumeration date
08/14/2021
Last updated
04/13/2022
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