Individual
JESSICA LYNN WILLWERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
680 NORTHLAND BLVD, CINCINNATI, OH 45240-3248
(513) 941-4999
(513) 694-0168
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
(513) 941-4999
(513) 694-0168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.272177
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0423745
—
OH
Enumeration date
11/09/2020
Last updated
07/25/2023
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