Individual
MRS. JENNIFER LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1520 S MAIN ST, SUITE 2, DAYTON, OH 45409-2698
(937) 461-5815
Mailing address
4280 SHANDON DR, LIBERTY TWP, OH 45011-7769
(513) 616-2243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.361446
OH
Other
Enumeration date
06/28/2015
Last updated
06/28/2015
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