Individual
JACQUELINE M HOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
807 W MAIN ST, WILMINGTON, OH 45177-0868
(937) 382-1864
(937) 382-8917
Mailing address
PO BOX 868, 807 W MAIN ST, WILMINGTON, OH 45177-0868
(937) 382-1864
(937) 382-8917
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
051895
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244724
ANTHEM
OH
05
—
2219870
—
OH
Enumeration date
02/06/2007
Last updated
07/08/2007
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