Individual
JACQUELINE JANECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
260 STETSON ST, CINCINNATI, OH 45219-2498
(513) 558-7700
(513) 558-0877
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 245-3694
(513) 585-5515
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35141812
OH
2084P0804X
Child & Adolescent Psychiatry Physician
35.141812
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2016
Last updated
06/01/2021
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