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MR. JASON MICHAEL PELPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-4000
(937) 641-4500
Mailing address
PO BOX 933421, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0041118
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0056871
OH
05
0182102
OH
Enumeration date
11/14/2011
Last updated
05/05/2026
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