Individual
MS. NICOLE RUTH JESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT, PES
Contact information
Practice address
2830 NAPOLEON RD, FREMONT, OH 43420-9814
(419) 559-2100
Mailing address
3218 ELMONT RD APT 2, TOLEDO, OH 43615-1478
(440) 554-9285
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
AT.003428
OH
2255A2300X
Athletic Trainer
Primary
AT003428
OH
2255A2300X
Athletic Trainer
AT9279
TX
Other
Enumeration date
03/15/2011
Last updated
04/17/2023
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