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JESSIE ANN MCMULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3477
(937) 641-5410
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.12815
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0068574
OH
01
322859
RN
OH
Enumeration date
10/26/2011
Last updated
10/15/2023
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