Dayton, Jessica

Dayton, Jessica is an sole proprietor health care provider with primary practice located at 6413 Thornberry Ct , Mason OH 45040-7821. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dayton, Jessica can be contacted via phone (513) 770-0787.

Contact Information

Primary practice address
6413 Thornberry Ct Mason OH 45040-7821
Phone: (513) 770-0787
Fax: (513) 770-0144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 374079 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3016094 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.025762 Ohio

Profile Details

NPI number 1962040394
LBN Legal business name Dayton, Jessica
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2019
Last updated Feb 25th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962040394 NPPES
Kentucky MEDICAID 7100733780

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