Jessica Lynne Fannin

NPI #1609494350 in Powell, Ohio

Provider Information

NPI Number: 1609494350
Entity Type: Individual
Name: Jessica Lynne Fannin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jul 9, 2020
Last Updated: Jul 10, 2020

Practice Location

Address: 9482 WEDGEWOOD BLVD STE 50
City: Powell
State: Ohio
ZIP Code: 43065-0268
Phone: (614) 444-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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