Individual
MRS. JESSICA RENEE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
166 WINCHESTER ST, SARDINIA, OH 45171-9310
(937) 618-9731
Mailing address
PO BOX 115, SARDINIA, OH 45171-0115
(937) 618-9731
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
285709
OH
Other
Enumeration date
07/19/2023
Last updated
07/23/2023
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