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Individual

JACLYNN G MISSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-C

Contact information

Practice address
280 BENEDICT AVE STE A, NORWALK, OH 44857-2374
(419) 668-8110
(419) 660-6996
Mailing address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 668-8101

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0029750
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029750
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0460936
OH
Enumeration date
09/13/2021
Last updated
11/09/2022
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