Individual
MRS. JAMIE LEEANNE STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
331 W WALNUT ST, HILLSBORO, OH 45133-1335
(937) 205-4312
Mailing address
331 W WALNUT ST, HILLSBORO, OH 45133-1335
(937) 205-4312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.354323
OH
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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