Individual
JAMIE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-3171
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0020342
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462810
—
OH
Enumeration date
09/08/2021
Last updated
02/04/2022
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