Individual
JESSICA WYNNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6158 SPRING ST, RAVENNA, OH 44266-1369
(330) 968-5341
Mailing address
6158 SPRING ST, RAVENNA, OH 44266-1369
(330) 968-5341
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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