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Jenelle Niese
Family Nurse Practitioner in Ada, Ohio
NPI 1861845158

Jenelle Niese is a Family Nurse Practitioner based in Ada, OH and is specialized in Family. Jenelle Niese practices in Ada, OH. The NPI Number for Jenelle Niese is 1861845158 and holds a License No. COA.19255.NP (Ohio).

The current practice location address for Jenelle Niese is 604 W North Ave, Ada, OH and can be reached out via phone at 419-634-0431.

Location: 604 W North Ave, Ada, OH, 45810-1041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861845158
Provider Name
Jenelle Niese
Credential
Provider Entity Type
Individual
Gender
Female
Address
604 W North Ave, Ada, OH, 45810-1041
Phone Number
419-634-0431
Fax Number
Provider Enumeration Date
07/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
604 W North Ave
City
Ada
State
Ohio
Zip
45810-1041
Phone Number
419-634-0431
Fax Number
person
Provider Business Mailing Address Details
Address
604 W North Ave
City
Ada
State
Ohio
Zip
45810-1041
Phone Number
419-634-0431
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA.19255.NP (Ohio)
Definition
Definition to come...
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