Individual
MS. JESSICA NICHOLE WORSTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
3338 S BANK RD NE, MILLERSPORT, OH 43046-9521
(740) 405-4383
Mailing address
PO BOX 33, MILLERSPORT, OH 43046-0033
(740) 405-4383
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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