Individual
JENNIFER LYNN KOTSANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
302 W MAIN ST, SAINT CLAIRSVILLE, OH 43950-8801
(740) 968-7256
Mailing address
302 W MAIN ST, SAINT CLAIRSVILLE, OH 43950-8801
(740) 968-7006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
83060
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.14147
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085521
—
OH
Enumeration date
05/29/2013
Last updated
11/03/2017
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