Individual
MRS. JENNIFER ELIZABETH UPDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
280 LOONEY RD, SUITE101, PIQUA, OH 45356-4199
(937) 440-4000
Mailing address
1317 ARBOR AVE, DAYTON, OH 45420-1908
(937) 258-2836
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN.282847 NP-09118
OH
Other
Enumeration date
11/14/2006
Last updated
10/10/2008
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