Individual
JENNIFER KAYE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MEDICAL CENTER DR STE 290, MIDDLETOWN, OH 45005-2595
(513) 857-3301
Mailing address
200 MEDICAL CENTER DR STE 290, MIDDLETOWN, OH 45005-2595
(513) 857-3301
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0034993
OH
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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