Jennifer Lynne Datta, N.P.
Nurse Practitioner, Acute Care in Delaware, OH. Individual provider (NPI-1).
NPI number1083676969
StatusActive
Last updated in NPPESDec 26, 2011
Details
- NPI
- 1083676969
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Lynne Datta
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2006
- Last updated
- Dec 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 10801-NP | OH | Yes |
| 363LF0000X | Nurse Practitioner, Family | 10801-NP | OH |
Practice location
3124 Bean Oller RdDelaware, OH 43015-9220
Phone 740-369-6516
Mailing address
3124 Bean Oller RdDelaware, OH 43015-9220
Phone 740-369-6516
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