Individual
JENNIFER DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3210
Mailing address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA. 18121-NP
OH
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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