Individual
JENNIFER KAY QUICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 JOSEPH E SANKER BLVD, CINCINNATI, OH 45212
(513) 204-5696
Mailing address
840 OLD MILL DR, LOVELAND, OH 45140-8077
(313) 580-2791
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704181425
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104489811
—
MI
01
—
JC181425
BLUE CROSS OF MI
MI
Enumeration date
09/25/2006
Last updated
12/04/2019
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