Jessica Lynn Ullery
Nurse Practitioner - Women's Health
3535 Pentagon Blvd Ste 220
Beavercreek
, Ohio 45431-1705
Jessica Lynn Ullery
Nurse Practitioner - Women's Health
3535 Pentagon Blvd Ste 220
Beavercreek
, Ohio 45431-1705
(937) 431-2623
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Jessica Lynn Ullery
- 3535 Pentagon Blvd Ste 220
- Beavercreek, OH
- Zip : 45431-1705
- Fax : (937) 431-2623
- Phone : (937) 429-7350
Second Address
- Jessica Lynn Ullery
- 3535 Pentagon Blvd Ste 220
- Beavercreek, OH
- Zip : 45431-1705
- Fax : (937) 431-2623
- Phone : (937) 429-7350
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | APRN.CNP.024578 | OH |
National Provider Identifier
| NPI | 1063071520 |
|---|---|
| Provider Name | Jessica Lynn Ullery |
| First Address | Beavercreek, OH 45431-1705 |
| Second Address | Beavercreek, OH 45431-1705 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2019 |
| Last Update Date | 17/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0353060 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.