Individual
JENNA EMMERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6479 REFLECTIONS DR, DUBLIN, OH 43017-2374
(380) 266-2407
Mailing address
6479 REFLECTIONS DR, DUBLIN, OH 43017-2374
(380) 266-2407
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
004789
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073955
—
OH
05
—
009128
—
OH
05
—
0411413
—
OH
Enumeration date
10/16/2024
Last updated
02/11/2026
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