Individual
MS. JEANNE MARIE KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, NP-C
Contact information
Practice address
7755 PARAGON RD, DAYTON, OH 45459-4055
(937) 683-6267
Mailing address
7755 PARAGON RD, DAYTON, OH 45459-4055
(937) 683-6267
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.14995
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089258
—
OH
01
—
H257770
MEDICARE PTAN
OH
Enumeration date
07/10/2013
Last updated
01/06/2017
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