Individual
MRS. JACQUELINE RAE RIZZO
Active
Individual
MRS. JACQUELINE RAE RIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
338800
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
15574
OH
363LA2200X
Adult Health Nurse Practitioner
338800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143552
—
OH
Enumeration date
12/31/2013
Last updated
08/31/2026
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