Individual
JESSICA PENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
8568 SLAGLE RD, WINDHAM, OH 44288-9557
(330) 577-6053
Mailing address
8568 SLAGLE RD, WINDHAM, OH 44288-9557
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.344658
OH
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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