Individual
JESSICA R HESFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2123 AUBURN AVE STE 334, CINCINNATI, OH 45219-2906
(513) 585-1500
(513) 585-1510
Mailing address
237 WILLIAM HOWARD TAFT RD, CBO2-3, ATTN - CREDENTIALING, CINCINNATI, OH 45219
(513) 263-8571
(513) 263-8622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004691
OH
363AM0700X
Medical Physician Assistant
085004942
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100523340
—
KY
Enumeration date
12/04/2013
Last updated
02/05/2020
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