Individual
MRS. JILLIAN L TEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1750 W 4TH ST, ONTARIO, OH 44906-1770
(419) 526-8444
(419) 529-8905
Mailing address
1925 CHARLES RD, MANSFIELD, OH 44903-8215
(419) 522-5484
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.021307
OH
Other
Enumeration date
08/06/2017
Last updated
08/06/2017
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