Individual
JENNA MARIE HATAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6100 N HAMILTON RD, WESTERVILLE, OH 43081-2062
(614) 293-5123
(614) 293-4890
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-5123
(614) 293-4890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.152604
OH
208000000X
Pediatrics Physician
35.152604
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442485
—
OH
Enumeration date
03/28/2021
Last updated
07/23/2026
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