Individual
JENNIFER D. MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 685-3333
(614) 366-0345
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 685-3333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.130114
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35130114
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0413550
—
OH
Enumeration date
04/30/2015
Last updated
03/10/2021
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