Doctor Name: | MRS. JENNIFER R CURTIS |
NPI Number: | 1700015989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 62949 |
Business Practice Address: | 4881 Sugar Maple Dr Wpafb, OH - 454335529 |
Business Phone Number: | 9372570456 |
Business Fax Number: | 9372570450 |
Mailing Address: | 4881 Sugar Maple Dr, WPAFB |
State: | OH |
Postal Code: | 454335529 |
Phone Number: | 9372570456 |
Fax Number: | 9372570450 |
NPI Enumeration Date: | 07/08/2009 |
NPI Last Update Date: | 03/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 62949 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |