Individual
JACQUELINE M MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AND, BSN, MS, ANP
Contact information
Practice address
618 PLEASANTVILLE RD, SUITE 202, LANCASTER, OH 43130-3312
(740) 681-9020
(740) 681-9112
Mailing address
1153 E MAIN ST, PO BOX 2563, LANCASTER, OH 43130-4056
(740) 687-8990
(740) 687-8230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0337916-21
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.08314-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2963173
—
OH
01
—
P00732832
MEDICARE RAILROAD
OH
Enumeration date
05/23/2005
Last updated
10/06/2016
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