Individual
JENNIFER MARIE DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4200
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
RN.412752
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.17677-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139991
—
OH
Enumeration date
07/14/2015
Last updated
10/10/2023
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