Individual
JAYNE WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2000
Mailing address
PO BOX 632572, CINCINNATI, OH 45263-2572
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.415670
OH
Other
Enumeration date
12/12/2017
Last updated
04/17/2018
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