Individual
JESSICA LYNN BOETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 E TOWN ST, COLUMBUS, OH 43215-4601
(614) 788-5000
(614) 788-5100
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(614) 788-5000
(614) 788-5100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004239RX
OH
363AM0700X
Medical Physician Assistant
50.004239
OH
Other
Enumeration date
06/12/2015
Last updated
11/07/2022
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