Individual
JACLYN ROSE GEDDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 262-6772
(614) 533-0162
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.025203
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361695
—
OH
Enumeration date
06/24/2019
Last updated
08/29/2024
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