Derek Justice Jay
NPI #1427819721 in New Bremen, Ohio
Provider Information
- NPI Number
- 1427819721
- Entity Type
- Individual
- Name
- Derek Justice Jay
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 23, 2024
- Last Updated
- Jul 22, 2024
Practice Location
- Address
- 03920 SOUTHLAND RD
- City
- New Bremen
- State
- Ohio
- ZIP Code
- 45869-9790
- Phone
- (419) 629-2772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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