Individual
JESSICA M PATRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3525 OLENTANGY RIVER RD, SUITE 5310, COLUMBUS, OH 43214-3937
(614) 261-0073
(614) 268-5611
Mailing address
3525 OLENTANGY RIVER RD, SUITE 5310, COLUMBUS, OH 43214-3937
(614) 261-0073
(614) 268-5611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.003387
OH
363AS0400X
Surgical Physician Assistant
Primary
50.003387
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50.003387
OHIO MEDICAL LICENSE
OH
Enumeration date
09/23/2011
Last updated
01/25/2022
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