Individual
JENNIFER WELTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6010 S MASON MONTGOMERY RD, MASON, OH 45040-3706
(513) 246-7000
Mailing address
5275 TALLAWANDA DR, FAIRFIELD, OH 45014-3327
(151) 351-9065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.327899
OH
363L00000X
Nurse Practitioner
Primary
CNP.0028583
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2565399
—
OH
Enumeration date
01/26/2021
Last updated
04/21/2021
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