George, Jessica Elyse

George, Jessica Elyse is an individual health care provider with primary practice located at 4774 Kidron Rd , Kidron OH 44636. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. George, Jessica Elyse can be contacted via phone (330) 857-0177.

Contact Information

Primary practice address
4774 Kidron Rd Kidron OH 44636
Phone: (330) 857-0177
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 045197 Ohio

Profile Details

NPI number 1598758229
LBN Legal business name George, Jessica Elyse
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Sep 7th, 2011 - about 14 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 1598758229 NPPES
Ohio MEDICAID 2164394

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