Individual
JESSICA DESTEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9280
(614) 384-7798
(614) 384-7703
Mailing address
5665 HOOVER RD, GROVE CITY, OH 43123-9280
(614) 384-7798
(614) 384-7703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.332319
OH
Other
Enumeration date
07/23/2016
Last updated
11/24/2023
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