Provider Demographics
NPI:1467060608
Name:WORKMAN, JESSICA (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4135 WILLOW HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1056
Mailing Address - Country:US
Mailing Address - Phone:614-404-7606
Mailing Address - Fax:
Practice Address - Street 1:4135 WILLOW HOLLOW DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-1056
Practice Address - Country:US
Practice Address - Phone:614-404-7606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0026814363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner