Individual
JENIFER MICHELLE NELSON JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404
(937) 641-3350
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3350
(937) 641-4500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.131400
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.131400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232477
—
OH
Enumeration date
04/27/2012
Last updated
11/25/2019
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