Individual
JENNIFER CALICOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 W MCCREIGHT AVE STE 106, SPRINGFIELD, OH 45504-1853
(937) 523-9820
(937) 523-9829
Mailing address
30 W MCCREIGHT AVE STE 106, SPRINGFIELD, OH 45504-1853
(937) 523-9820
(937) 523-9829
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.024970
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.024970
OH
Other
Enumeration date
05/29/2019
Last updated
10/10/2024
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