Individual
MS. TAMMY R JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4440 GLEN ESTE WITHAMSVILLE RD STE 500, CINCINNATI, OH 45245-1331
(513) 347-9999
Mailing address
4440 GLEN ESTE WITHAMSVILLE RD STE 500, CINCINNATI, OH 45245-1331
(513) 347-9999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.001924RX
OH
363A00000X
Physician Assistant
PA811
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9500416400
—
KY
01
—
P00227500
RRMC
—
Enumeration date
11/16/2005
Last updated
08/14/2025
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