Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | APRN.CNP.021103 | OH |
NPI | 1013439397 |
---|---|
Provider Name | Rosanne Cecilia Jones |
First Address | Springboro, OH 45066-9570 |
Second Address | Dayton, OH 45404-1873 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2017 |
Last Update Date | 08/07/2017 |