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JACLYN NOEL MARIE JEZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
710 CLEVELAND AVE, FREMONT, OH 43420-3224
(419) 334-6619
Mailing address
4300 CHAMPLIN DR, PERRYSBURG, OH 43551-7178
(419) 266-5297

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0030241
OH

Other

Enumeration date
11/16/2021
Last updated
11/03/2023
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