Individual
JENNA NICOLE RADVANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4100 JOHNSON RD STE 100, STEUBENVILLE, OH 43952-2356
(740) 264-8600
(740) 346-0298
Mailing address
380 SUMMIT AVENUE, MSO PHYSICIAN BILLING, STEUBENVILLE, OH 43952-2667
(740) 283-7597
(740) 283-7460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006042RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0358704
—
OH
Enumeration date
05/15/2019
Last updated
08/02/2023
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