Individual
JESSICA MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 558-4194
(513) 558-0995
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 245-3600
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3010512
KY
363LF0000X
Family Nurse Practitioner
Primary
APRNCNP020074
OH
Other
Enumeration date
09/15/2016
Last updated
10/24/2017
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