Individual
MS. JESSA MARIE NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3615 SOCIALVILLE FOSTER RD STE C, MASON, OH 45040-9054
(513) 209-1910
(513) 204-0049
Mailing address
3701 CHESTNUT PARK, CLEVES, OH 45002-2357
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN284477
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0027725
OH
Other
Enumeration date
03/06/2019
Last updated
10/08/2020
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