Individual
JENNIFER ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1050 FORRER BLVD STE 250, KETTERING, OH 45420-3640
(800) 986-4801
(937) 684-9990
Mailing address
1050 FORRER BLVD STE 250, KETTERING, OH 45420-3640
(800) 986-4801
(937) 684-9990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0033651
OH
363LF0000X
Family Nurse Practitioner
0033651
OH
Other
Enumeration date
04/28/2023
Last updated
04/20/2026
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