MR. Jesse Wade Vandyne, NURSE PRACTITIONER

NPI #1952957631 in Kenton, Ohio

Provider Information

NPI Number
1952957631
Entity Type
Individual
Name
MR. Jesse Wade Vandyne, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
NURSE PRACTITIONER
Enumeration Date
Aug 17, 2019
Last Updated
Jun 28, 2021

Practice Location

Address
921 E FRANKLIN ST
City
Kenton
State
Ohio
ZIP Code
43326-2020
Phone
(614) 566-8883

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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