Individual
AMY JO HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5951 RENAISSANCE PL, TOLEDO, OH 43623
(419) 824-2288
Mailing address
5951 RENAISSANCE PL, TOLEDO, OH 43623-4722
(419) 824-2288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003789
—
363A00000X
Physician Assistant
Primary
50.003789RX
OH
Other
Enumeration date
09/04/2013
Last updated
08/22/2019
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