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Jaquayla M Herron

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

NPI number1669979993
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1669979993
Entity type
Individual (NPI-1)
Name
Jaquayla M Herron
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 12, 2018
Last updated
Sep 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse165687OHYes

Practice location

1360 Dublin Rd
Columbus, OH 43215-1029

Phone 614-488-7117

Mailing address

5716 Greenpine St
Columbus, OH 43232-7754

Phone 419-371-1072

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