Individual
JADE RESHEA KIRKPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1711 27TH ST STE 206, PORTSMOUTH, OH 45662-2669
(740) 356-8772
(740) 356-1264
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-6942
(740) 356-1264
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.022360
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
09/21/2017
Last updated
03/24/2023
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