Individual
JACQUELINE R ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3371 KEMP RD, BEAVERCREEK, OH 45431-2514
(937) 458-4200
(937) 458-4209
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.023566
OH
Other
Enumeration date
08/14/2010
Last updated
10/25/2021
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