Individual
MISS JESSICA ANNE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACPNP
Contact information
Practice address
3333 BURNET AVE, MLC 11024, CINCINNATI, OH 45229-3026
(513) 803-4724
(513) 803-9294
Mailing address
3333 BURNET AVE, MLC 11024, CINCINNATI, OH 45229-3026
(513) 803-4724
(513) 803-9294
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
COA.17804-NP
OH
Other
Enumeration date
08/10/2015
Last updated
06/23/2020
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