Individual
JESSICA ANN VON BENKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1313 BEL AIR CIR, MACEDONIA, OH 44056-1996
(440) 785-9003
Mailing address
1313 BEL AIR CIR, MACEDONIA, OH 44056-1996
(440) 785-9003
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11200098
OH
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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