Individual
JESSICA MARIE FAKHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 HOSPITAL DR STE 260, ATHENS, OH 45701-2866
(740) 594-8819
(740) 594-4099
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71011369A
IN
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0036255
OH
363LF0000X
Family Nurse Practitioner
TBD
MI
Other
Enumeration date
04/17/2018
Last updated
03/06/2025
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