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Angelia M Mickle, FNP
Family Nurse Practitioner in Jamestown, Ohio
NPI 1790117141

Angelia M Mickle is a Family Nurse Practitioner based in Jamestown, OH and is specialized in Family. Angelia M Mickle practices in Jamestown, OH and has the professional credentials of FNP. The NPI Number for Angelia M Mickle is 1790117141 and holds a License No. APRN.CNP.14976 (Ohio).

The current practice location address for Angelia M Mickle is 4940 Cottonville Rd, Jamestown, OH and can be reached out via phone at 937-675-6830 and via fax at 937-675-6835.

Location: 4940 Cottonville Rd, Jamestown, OH, 45335-1522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790117141
Provider Name
Angelia M Mickle
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4940 Cottonville Rd, Jamestown, OH, 45335-1522
Phone Number
937-675-6830
Fax Number
937-675-6835
Provider Enumeration Date
08/07/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0095517 05 OH
institution
Provider Business Practice Location Address Details
Address
4940 Cottonville Rd
City
Jamestown
State
Ohio
Zip
45335
Phone Number
937-675-6830
Fax Number
937-675-6835
person
Provider Business Mailing Address Details
Address
4940 Cottonville Rd
City
Jamestown
State
Ohio
Zip
45335
Phone Number
937-675-6830
Fax Number
937-675-6835
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA.14976-NP (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
APRN.CNP.14976 (Ohio)
Definition
Definition to come...
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