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Individual

JENNIFER ELIZABETH SARGENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2600 N LIMESTONE ST STE 175, SPRINGFIELD, OH 45503-1114
(937) 523-9980
(937) 523-9985
Mailing address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 328-8788
(937) 328-8789

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005697RX
OH
363AS0400X
Surgical Physician Assistant
50.005697RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0320333
OH
Enumeration date
10/04/2018
Last updated
07/03/2024
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