Individual
JENNIFER MICHELE SUFFRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, PHMNP-BC
Contact information
Practice address
6300 N MAIN ST, DAYTON, OH 45415-3154
(937) 524-1233
Mailing address
1903 ROBINWAY DR, CINCINNATI, OH 45230-2151
(513) 344-6300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
APRN.CNP.025832
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.025832
OHIO BOARD OF NURSING
OH
Enumeration date
01/27/2020
Last updated
01/27/2020
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