Individual
MS. JESSIE MARIE VADNAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP- PC
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-2706
(513) 636-2988
Mailing address
PO BOX 933421, CLEVELAND, OH 44193-0039
(937) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.023804
OH
363LP0200X
Pediatric Nurse Practitioner
20188105
OH
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.023804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462231
—
OH
05
—
2565399
—
OH
Enumeration date
06/15/2018
Last updated
03/15/2024
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