Individual
JOANNA J REYES-MANNEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
212 N MAIN ST, LONDON, OH 43140-1115
(740) 845-7286
(740) 845-7499
Mailing address
651 S LIMESTONE ST, SPRINGFIELD, OH 45505-1965
(937) 324-1111
(937) 525-4542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.473518
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0037398
OH
Other
Enumeration date
07/20/2020
Last updated
10/03/2024
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