Individual
JASON VINCENT GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
7162 LIBERTY CENTRE DR, LIBERTY TOWNSHIP, OH 45069-2562
(513) 795-7557
Mailing address
1910 FAIRGROVE AVE STE E, HAMILTON, OH 45011-1930
(513) 494-4679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
434495
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0029442
OH
Other
Enumeration date
04/03/2017
Last updated
01/06/2025
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