Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | APRN.CNP.022997 | OH |
N | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | APRN.CNP.022997 | OH |
NPI | 1023577699 |
---|---|
Provider Name | Mrs. Katherine Jessica Dean |
First Address | Ashville, OH 43103-9379 |
Second Address | Lancaster, OH 43130-7642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2019 |
Last Update Date | 13/03/2019 |