Individual
JANE NISWONGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
300 E 8TH ST, SUITE 120, MARIETTA, OH 45750-3379
(740) 374-4273
(740) 376-5098
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.07456.NP
OH
Other
Enumeration date
10/24/2006
Last updated
09/17/2024
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