Mariah Lee Jansing
Nurse Practitioner, Family in Dayton, OH. Individual provider (NPI-1).
NPI number1669970802
StatusActive
Last updated in NPPESMay 29, 2020
Details
- NPI
- 1669970802
- Entity type
- Individual (NPI-1)
- Name
- Mariah Lee Jansing
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2018
- Certification date
- May 29, 2020
- Last updated
- May 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN.CNP.022215 | OH | Yes |
Practice location
3602 N Main StDayton, OH 45405-2403
Phone 937-963-1990
Mailing address
1060 Pepper Hill DrKettering, OH 45429-5538
Phone 937-271-8064
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