Individual
MRS. JESSICA MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2841 MUNDING DR, OREGON, OH 43616-3290
(419) 697-4100
(216) 749-0141
Mailing address
2160 OLD HICKORY LN, HOLLAND, OH 43528-9570
(419) 270-1972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.17634
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144354
—
OH
Enumeration date
06/25/2015
Last updated
12/11/2023
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