Individual
JESSIE ENTWISTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-5000
(740) 356-6387
Mailing address
1735 27TH ST, WALLER BLDG. SUITE B 06, PORTSMOUTH, OH 45662-2677
(740) 356-6800
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2020023514
MO
207P00000X
Emergency Medicine Physician
Primary
34.012445
OH
Other
Enumeration date
08/04/2014
Last updated
09/13/2023
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