Individual
JESSICA MICHAELLE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
(614) 293-4540
Mailing address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
(614) 688-9615
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34.012752
OH
Other
Enumeration date
04/01/2013
Last updated
12/04/2020
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