Individual
JESSICA MACGILLIVRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PAT, OH 45433-5529
(937) 522-4727
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PAT, OH 45433-5529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.361931
OH
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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