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Kileen Jerricha Fernandez
Pediatric Nurse Practitioner in Springboro, Ohio
NPI 1891397170

Kileen Jerricha Fernandez is a Pediatric Nurse Practitioner based in Cleveland, OH and is specialized in Pediatrics. Kileen Jerricha Fernandez practices in Springboro, OH. The NPI Number for Kileen Jerricha Fernandez is 1891397170 and holds a License No. APRN.CNP.0026964 (Ohio).

The current practice location address for Kileen Jerricha Fernandez is 662 N Main St, Springboro, OH and can be reached out via phone at 937-641-5066 and via fax at 937-550-9797.

Location: 662 N Main St, Springboro, OH, 44193-0039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891397170
Provider Name
Kileen Jerricha Fernandez
Credential
Provider Entity Type
Individual
Gender
Female
Address
662 N Main St, Springboro, OH, 44193-0039
Phone Number
937-641-5066
Fax Number
937-550-9797
Provider Enumeration Date
11/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0447741 05 OH
institution
Provider Business Practice Location Address Details
Address
662 N Main St
City
Springboro
State
Ohio
Zip
45066-9553
Phone Number
937-641-5066
Fax Number
937-550-9797
person
Provider Business Mailing Address Details
Address
662 N Main St
City
Springboro
State
Ohio
Zip
45066-9553
Phone Number
937-641-5066
Fax Number
937-550-9797
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
APRN.CNP.0026964 (Ohio)
Definition
Definition to come...
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