Individual
DR. JESSE LEE NEIGHBORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 N ROGERS ST, 104 N ROGERS ST, MOUNT VERNON, OH 43050-1834
(740) 326-9161
Mailing address
104 N ROGERS ST, 104 N ROGERS ST, MOUNT VERNON, OH 43050-1834
(740) 326-9161
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
OH
363LF0000X
Family Nurse Practitioner
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235501305
—
OH
05
—
363LF0000X
—
OH
Enumeration date
10/28/2015
Last updated
07/21/2022
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