Individual
JENNIFER L LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 293-8228
(937) 293-8229
Mailing address
PO BOX 932759, CLEVELAND, OH 44193-0015
(866) 282-7905
(800) 731-0751
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.11277
OH
367500000X
Certified Registered Nurse Anesthetist
RN320925
OH
Other
Enumeration date
01/20/2010
Last updated
09/27/2018
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