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Individual

JESSICA NICOLE STANKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
234 GOODMAN ST, EMERGENCY DEPARTMENT, CINCINNATI, OH 45219-2364
(513) 558-5281
(513) 558-5791
Mailing address
2830 VICTORY PARKWAY, ML 0806 - CENTRAL CREDENTIALING, CINCINNATI, OH 45206-1785
(513) 585-5505
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.12974
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0064544
OH
05
201106440
IN
05
7100210540
KY
Enumeration date
12/07/2011
Last updated
11/23/2017
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