Individual
JEWEL DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2702 NAVARRE AVE STE 320, OREGON, OH 43616-3224
(419) 696-5555
(419) 696-8499
Mailing address
2702 NAVARRE AVE STE 320, OREGON, OH 43616-3224
(419) 696-5555
(419) 696-8499
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.021067
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.021067
OH
Other
Enumeration date
09/14/2017
Last updated
10/11/2024
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