Individual
JILL SUSAN HASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLP NURSE PRACTITION
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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