Individual
JESSICA DAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6413 THORNBERRY CT, MASON, OH 45040-7821
(513) 770-0787
(513) 770-0144
Mailing address
6413 THORNBERRY CT, MASON, OH 45040-7821
(513) 770-0787
(513) 770-0144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
374079
OH
363LF0000X
Family Nurse Practitioner
3016094
KY
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.025762
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100733780
—
KY
Enumeration date
12/16/2019
Last updated
02/25/2022
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