Individual
JEFFREY ROBERT MAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
5801 TAMARACK BLVD, COLUMBUS, OH 43229-3747
(614) 436-6009
(614) 436-6361
Mailing address
211 EDGEFIELD BLVD, MARION, OH 43302-5801
(740) 914-4178
(740) 386-2640
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.025889
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0393267
—
OH
Enumeration date
03/03/2020
Last updated
04/27/2022
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