Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 4704372033 | MI |
Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.023511 | OH |
NPI | 1033684014 |
---|---|
Provider Name | Jessica R Wozniak |
First Address | Toledo, OH 43604-1531 |
Second Address | Toledo, OH 43606-2956 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2018 |
Last Update Date | 19/03/2021 |