| NPI | 1215453956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN BIDDLE Certified Nurse Practitioner 614-218-3105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.15913) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.302908) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |