Jaime Marie Rennecker
Nurse Practitioner, Neonatal in Canton, OH. Individual provider (NPI-1).
NPI number1003479080
StatusActive
Last updated in NPPESJul 8, 2019
Details
- NPI
- 1003479080
- Entity type
- Individual (NPI-1)
- Name
- Jaime Marie Rennecker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2019
- Last updated
- Jul 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LN0000X | Nurse Practitioner, Neonatal | APRN.CNP.019380 | OH | Yes |
Practice location
2600 Sixth St SwCanton, OH 44710-1702
Phone 330-363-5433 · Fax 330-363-7785
Mailing address
2600 6th St SwCanton, OH 44710-1702
Phone 330-363-5433 · Fax 330-580-6785
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