Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0000X | Obstetrician | 4301103497 | IL |
Y | 207VX0000X | Obstetrician | TP816 | KY |
NPI | 1396186623 |
---|---|
Provider Name | Dr. Jessica Marie Yarr Zandri |
First Address | Cincinnati, OH 45263-5283 |
Second Address | Edgewood, KY 41017-3403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2013 |
Last Update Date | 15/02/2021 |