Individual
JESSIE CHRISTINE KISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-5502
(614) 293-4726
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 366-8030
(614) 366-4545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.021273
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.021273
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0240442
—
OH
Enumeration date
06/08/2017
Last updated
10/01/2018
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