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Individual

MRS. JENNIFER LYNN MCDERMOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8320 KNISELEY RD, GREENVILLE, OH 45331-9422
(937) 548-4343
Mailing address
601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIORAL HEALTH INC, DAYTON, OH 45417-3424
(937) 734-8333
(937) 734-4343

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.410291
OH
164W00000X
Licensed Practical Nurse
PN113503
OH

Other

Enumeration date
10/29/2007
Last updated
09/06/2017
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