Individual
JILL RENEE RASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
452 W 10TH AVE # RHH1255, COLUMBUS, OH 43210-1240
(614) 293-5502
(614) 293-4726
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-2963
(614) 366-4545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.220326
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.05112
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084760
—
OH
Enumeration date
08/26/2011
Last updated
11/15/2017
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