Individual
DEBORAH JERISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
277 JACOBY RD, YELLOW SPRINGS, OH 45387-8792
(937) 689-2926
Mailing address
277 JACOBY RD, YELLOW SPRINGS, OH 45387-8792
(937) 689-2926
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901793
—
OH
Enumeration date
02/06/2021
Last updated
02/06/2021
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