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Individual

MS. JACQUELYN WRENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC

Contact information

Practice address
89 SYLVANIA DR, DAYTON, OH 45440-3281
(937) 320-2020
(513) 984-4240
Mailing address
9500 EUCLID AVE # I32, CLEVELAND, OH 44195-0001
(216) 402-1327

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
APRN.CNP.0028181
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028181
OH

Other

Enumeration date
02/26/2021
Last updated
02/08/2024
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