Individual
JAYSIE LYNN POPOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9293 STATE ROUTE #43, SUITE B, STREETSBORO, OH 44241-5376
(330) 626-1113
Mailing address
9293 STATE ROUTE #43, SUITE B, STREETSBORO, OH 44241-5376
(330) 626-1113
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.11450-NP
OH
Other
Enumeration date
05/01/2010
Last updated
10/17/2013
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