Individual
JACLYN RENEE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 558-4194
(513) 558-0995
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5502
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRNCNP12701
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRNCNP12701
OH
363LA2200X
Adult Health Nurse Practitioner
COA.12701-NP
OH
Other
Enumeration date
10/19/2011
Last updated
10/25/2019
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