JACLYNN PAULINE BACK

COLUMBUS, OH
NPI1770835506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  COA.13665-NP)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: OH  APRN.CNP.13665)
Enumeration Date2012-10-03
Last Update Date2020-02-25
Business Address
Miss JACLYNN PAULINE BACK CNP
199 GRACELAND BLVD
COLUMBUS, OH 43214-1529
Phone number: 614-545-3001
Mailing Address
Miss JACLYNN PAULINE BACK CNP
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number: 615-425-4200