Individual
JENNIFER SPIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 493-4553
(330) 493-3761
Mailing address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 493-4553
(330) 493-3761
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA.14104-NP
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP-14104
OH
Other
Enumeration date
05/10/2013
Last updated
04/09/2020
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