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Jessica M Roach, LPN, MPH

Licensed Practical Nurse in Columbus, OH. Individual provider (NPI-1).

NPI number1124880109
StatusActive
Last updated in NPPESJan 25, 2024

Details

NPI
1124880109
Entity type
Individual (NPI-1)
Name
Jessica M Roach
Credential
LPN, MPH
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 25, 2024
Certification date
Jan 25, 2024
Last updated
Jan 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLPN.100395.MEDS-IVOHYes
251K00000X Public Health or Welfare––
261QP0904X Clinic/Center, Public Health, Federal––

Practice location

5120 Etna Rd
Columbus, OH 43213-2532

Phone 614-440-4362

Mailing address

5120 Etna Rd
Columbus, OH 43213-2532

Phone 614-440-4362

Other practice locations

118 E Main St Fl 2
Columbus, OH 43215-5208

Phone 614-440-4362

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