Individual
DR. JANTZEN DETTWILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
734 YORK ST, NEWPORT, KY 41071-1818
(937) 403-5905
Mailing address
734 YORK ST, NEWPORT, KY 41071-1818
(937) 403-5905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F09230542
OH
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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