Individual
JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1496 TARKILN RD SE, LANCASTER, OH 43130-9006
(740) 415-3667
Mailing address
642 W NORTHGATE PKWY, TOLEDO, OH 43612-3322
(614) 638-6972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-376733
OH
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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