Individual
JESANNA HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 METRO PL N STE 300, DUBLIN, OH 43017-5320
(855) 289-1722
Mailing address
525 METRO PL N STE 300, DUBLIN, OH 43017-5320
(855) 289-1722
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN.476737
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.476737
OH
363LF0000X
Family Nurse Practitioner
Primary
476737
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
04/11/2022
Last updated
02/24/2025
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