JENELLE NIESE

ADA, OH
NPI1861845158
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN.CNP.19255)
Enumeration Date2016-07-21
Last Update Date2024-10-18
Business Address
JENELLE NIESE
604 W NORTH AVE
ADA, OH 45810-1041
Phone number: 419-634-0431
Mailing Address
JENELLE NIESE
604 W NORTH AVE
ADA, OH 45810-1041
Phone number: