Individual
MS. LUCIA MARIE JENKUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1500 E 17TH AVE, COLUMBUS, OH 43219-1002
(614) 645-2700
Mailing address
1500 E 17TH AVE, COLUMBUS, OH 43219-1002
(614) 645-2700
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NM-10117
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02146909
—
NY
05
—
2944569
—
OH
Enumeration date
09/02/2006
Last updated
07/18/2017
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