Individual
JANE ENNEKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
793 WEST STATE STREET, COLUMBUS, OH 43222
(614) 234-5000
Mailing address
793 WEST STATE STREET, COLUMBUS, OH 43222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
08462
OH
Other
Enumeration date
05/12/2006
Last updated
05/12/2011
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