Individual
JILL SUSAN HASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLP NURSE PRACTITION
Contact information
Practice address
379 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 481-4777
(513) 389-0473
Mailing address
PO BOX 633448, CINCINNATI, OH 45263-3448
(513) 569-6117
(513) 853-4740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.308892
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
COA.11741
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133033
—
OH
Enumeration date
08/02/2010
Last updated
05/09/2017
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