Individual
JACINDA L PAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1735 27TH ST, WALLER BUILDING, SUITE B06, PORTSMOUTH, OH 45662-2677
(740) 356-8051
(740) 353-7900
Mailing address
1735 27TH ST, WALLER BUILDING, SUITE B06, PORTSMOUTH, OH 45662-2677
(740) 356-8051
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.101815
OH
207Q00000X
Family Medicine Physician
58003973
OH
Other
Enumeration date
09/19/2011
Last updated
07/01/2013
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