Individual
JENNA LEE TANASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 865-1111
Mailing address
3051 N MASON MONTGOMERY RD, MASON, OH 45040-7947
(513) 478-5458
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
021317
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP.021317
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0385719
—
OH
Enumeration date
10/27/2017
Last updated
02/04/2020
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