Individual
JESSICA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 227-3361
Mailing address
2512 ADGATE RD, LIMA, OH 45805-3706
(419) 203-8140
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
APRN.CNP.0034908
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0034908
OH
Other
Enumeration date
09/15/2023
Last updated
10/18/2024
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