Provider Demographics
NPI:1881128072
Name:NEEPER, JERILYN J (NP-C)
Entity type:Individual
Prefix:
First Name:JERILYN
Middle Name:J
Last Name:NEEPER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:JERILYN
Other - Middle Name:J
Other - Last Name:SCHMUTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1624 TIFFIN AVE STE D
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6852
Mailing Address - Country:US
Mailing Address - Phone:419-422-7800
Mailing Address - Fax:
Practice Address - Street 1:1624 TIFFIN AVE STE D
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-6852
Practice Address - Country:US
Practice Address - Phone:419-422-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-14
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.020667363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily