Individual
JAMIE MARIE HALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4925 JACKMAN RD, TOLEDO, OH 43613-3574
(419) 251-5155
(419) 251-5160
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.022983
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARPN.CNP.022983
STATE LICENSE
OH
Enumeration date
06/22/2018
Last updated
04/29/2025
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