Individual
JESSICA B WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 W 21ST ST, STE 1, LORAIN, OH 44052-4754
(440) 233-0138
(440) 233-1051
Mailing address
PO BOX 636643, CINCINNATI, OH 45263-6643
(440) 989-3801
(440) 960-0264
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35084345
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236248
—
OH
05
—
2472935
—
OH
05
—
3025372
—
OH
Enumeration date
02/17/2006
Last updated
01/28/2014
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