Individual
JESSICA S WITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
830 S MAIN ST, ORRVILLE, OH 44667-2291
(330) 684-2015
(330) 684-2075
Mailing address
830 S MAIN ST, ORRVILLE, OH 44667-2291
(330) 684-2015
(330) 684-2075
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
12479
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12479-NP
COA
OH
Enumeration date
08/01/2011
Last updated
08/01/2011
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