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Jessica L Bostater, CPNP
Pediatric Nurse Practitioner in Bowling Green, Ohio
NPI 1023412079

Jessica L Bostater is a Pediatric Nurse Practitioner based in Bowling Green, OH and is specialized in Pediatrics. Jessica L Bostater practices in Bowling Green, OH and has the professional credentials of CPNP. The NPI Number for Jessica L Bostater is 1023412079 and holds a License No. COA.16495-NP (Ohio).

The current practice location address for Jessica L Bostater is 970 W Wooster St Rm 130, Bowling Green, OH and can be reached out via phone at 419-352-6890.

Location: 970 W Wooster St Rm 130, Bowling Green, OH, 43402-2652
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Provider Profile Details
NPI Number
1023412079
Provider Name
Jessica L Bostater
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
970 W Wooster St Rm 130, Bowling Green, OH, 43402-2652
Phone Number
419-352-6890
Fax Number
Provider Enumeration Date
10/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0176546 05 OH
institution
Provider Business Practice Location Address Details
Address
970 W Wooster St Rm 130
City
State
Zip
43402-2652
Phone Number
419-352-6890
Fax Number
person
Provider Business Mailing Address Details
Address
970 W Wooster St Rm 130
City
State
Zip
43402-2652
Phone Number
419-352-6890
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
COA.16495-NP (Ohio)
Definition
Definition to come...
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